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PUNXSUTAWNEY AREA HOSPITAL INC
NPI 1265449870
General Acute Care Hospital in Punxsutawney, PA

Active since August 03, 2006CLIA 39D0181633 · Certificate of Compliance
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767(814) 938-1800(814) 938-1885 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2025, Feb 7, 2023 (2 updates tracked since 2023).

About Punxsutawney Area Hospital Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUNXSUTAWNEY AREA HOSPITAL INC (NPI 1265449870) is a healthcare organization registered as a general acute care hospital in Punxsutawney, Pennsylvania and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 27, 2027 and lists T. Clark Simpson, President, as its authorized official.

NPPES Registry Identity

NPI1265449870
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePUNXSUTAWNEY AREA HOSPITAL INC
Location Address81 HILLCREST DRPunxsutawney, PA 15767-2605
Mailing Address81 Hillcrest DrPunxsutawney, PA 15767-2605 · (814) 938-1800 · Fax (814) 938-1885
Phone(814) 938-1800
Fax(814) 938-1885
Organization SubpartNo
Authorized OfficialT. Clark SimpsonPresident · (814) 938-1882
Enumeration DateAugust 3, 2006
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1265449870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in PA · 163701
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
81 HILLCREST DR, Punxsutawney, PA 15767
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Other Identifiers 12

Medicaid1007712640007PA
Other1011417PA · Medicaid Hmo Gateway Heal
Other105192PA · Upmc Health Plan
Other192446PA · Health America Health Asr
Other60627PA · Mcd Hmo Unison Health Pl
Other056069PA · Unison Health Plan Mcd Hm
Other063945PA · Medicare Surgical Assist
Medicaid1007712640047PA
Other300145PA · Federal Black Lung
Other0064PA · Highmark Blue Cross
Other063945PA · Medicare Sur Assist
Other1034443PA · Emergency Room Gateway

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Punxsutawney Area Hospital Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20040830000460Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

86

Medicare enrollment records show 86 clinicians reassign Medicare billing to Punxsutawney Area Hospital Inc, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Diagnostic Radiology27
Nurse Practitioner17
Family Practice12
Certified Registered Nurse Anesthetist (CRNA)11
Emergency Medicine6
Obstetrics/Gynecology4
Internal Medicine3
Physical Therapist in Private Practice2
4 other specialties4

Nearest to this location (20)

See all 86
Brandy Bloom, ARNP
Nurse Practitioner
NPI 1184142440
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-2064
✔ PECOS✔ Accepts MedicareSame address
Abby Caylor, CRNP
Nurse Practitioner
NPI 1669190260
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1451
✔ PECOS✔ Accepts MedicareSame address
Amanda Caylor, CRNP
Nurse Practitioner
NPI 1134962012
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1800
✔ PECOS✔ Accepts MedicareSame address
Brooke Cherian, CRNP
Nurse Practitioner
NPI 1982348926
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1815
✔ PECOS✔ Accepts MedicareSame address
Michael Cherian, M.D.
Family Practice
NPI 1063772564
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1886
✔ PECOSSame address
Douglas Covatch, PT
Physical Therapist in Private Practice
NPI 1902943475
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1809
Same address
Amanda Greenblatt, NP
Nurse Practitioner
NPI 1700334141
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-7066
✔ PECOS✔ Accepts MedicareSame address
Kristina Harry, CRNP
Nurse Practitioner
NPI 1629816251
81 HILLCREST DR
Punxsutawney, PA 15767
(184) 938-1800
✔ PECOS✔ Accepts MedicareSame address
Candi Knox, NURSE PRACTITIONER
Nurse Practitioner
NPI 1467724955
81 HILLCREST DR STE 2200
Punxsutawney, PA 15767
(814) 938-3343
✔ PECOS✔ Accepts MedicareSame address
Susan Montag, DNP, CRNP, FNP-BC
Nurse Practitioner
NPI 1396914354
81 HILLCREST DR STE 100
Punxsutawney, PA 15767
(814) 938-7066
✔ PECOSSame address
Nicole Pomeroy, NP-C
Nurse Practitioner
NPI 1003305178
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-3550
✔ PECOS✔ Accepts MedicareSame address
Patrick Pomeroy, CRNP
Nurse Practitioner
NPI 1669889580
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1886
✔ PECOS✔ Accepts MedicareSame address
Patricia Schirf, DO
Family Practice
NPI 1952938094
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1800
✔ PECOS✔ Accepts MedicareSame address
James Shaffer, DO
Family Practice
NPI 1205033115
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1800
✔ PECOS✔ Accepts MedicareSame address
Keli Simpson, CRNP
Nurse Practitioner
NPI 1639692148
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-7066
✔ PECOS✔ Accepts MedicareSame address
T Simpson, MD
Emergency Medicine
NPI 1740373729
81 HILLCREST DR
Punxsutawney, PA 15767
(814) 938-1800
✔ PECOS✔ Accepts MedicareSame address
Phillip States, M.D.
Family Practice
NPI 1093791246
83 HILLCREST DR SUITE 200
Punxsutawney, PA 15767
(814) 938-3550
✔ PECOS✔ Accepts MedicareSame address
Donald Pallone, CRNP
Nurse Practitioner
NPI 1932384138
531 NORTH MAIN STREET
Punxsutawney, PA 15767
(814) 249-7583
✔ PECOS✔ Accepts Medicare1.2 mi
Jay Elder, M.D.
Internal Medicine
NPI 1881689297
204 PINE ST
Punxsutawney, PA 15767
(814) 938-5204
✔ PECOS1.7 mi
Shannon Byerly, PT, DPT
Physical Therapist in Private Practice
NPI 1972011542
720 W MAHONING ST STE 100
Punxsutawney, PA 15767
(814) 938-4447
2.2 mi
See all 86 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D0181633

Punxsutawney Area Hospital · Punxsutawney, PA
Active · expires Feb 27, 2027
CLIA Number39D0181633
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. David W. Azar
Laboratory Phone(814) 938-1800
Laboratory LocationPunxsutawney Area Hospital81 Hillcrest Drive, Punxsutawney, PA 15767
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Punxsutawney Area Hospital Inc's NPI number?

The NPI number for Punxsutawney Area Hospital Inc is 1265449870. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Punxsutawney Area Hospital Inc located?

Punxsutawney Area Hospital Inc is located at 81 Hillcrest Dr, Punxsutawney, PA 15767. The listed phone number is (814) 938-1800.

What is Punxsutawney Area Hospital Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Punxsutawney Area Hospital Inc enrolled in Medicare?

Yes. Punxsutawney Area Hospital Inc is registered in the Medicare PECOS enrollment system.

When is Punxsutawney Area Hospital Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Punxsutawney Area Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 86 clinicians in 12 Medicare specialties reassign their Medicare billing to Punxsutawney Area Hospital Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (27), Nurse Practitioner (17) and Family Practice (12). Of these, 17 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Punxsutawney Area Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D0181633) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Punxsutawney Area Hospital Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Punxsutawney Area Hospital Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Punxsutawney Area Hospital Inc was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.