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ANNETTE KUBALEK
NPI 1376089334
Nurse Practitioner in Indiana, PA

Active since January 16, 2017PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
1265 WAYNE AVE STE 103, INDIANA, PA 15701(724) 463-1048 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Mar 3, 2020, Sep 21, 2018 and 1 more (4 updates tracked since 2017).

About Annette Kubalek NPPES

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

ANNETTE KUBALEK (NPI 1376089334) is an individual nurse practitioner in Indiana, Pennsylvania, licensed in Pennsylvania (SP017023) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376089334
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNETTE KUBALEK
Location Address1265 WAYNE AVE STE 103Indiana, PA 15701-3501
Mailing Address2255 Philadelphia StIndiana, PA 15701-1595
Phone(724) 463-1048
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 16, 2017
Last NPPES UpdateNovember 17, 20204 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1376089334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP017023
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1265 WAYNE AVE STE 103, Indiana, PA 15701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annette Kubalek is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072898139
PECOS Enrollment IDI20170403000667
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services171 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
102 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Conemaugh Miners Medical Center

Critical Access Hospitals · Hastings, PA
OwnershipProprietary
CMS Certification Number391317
Location290 Haida AvenueHastings, PA 16646 · Cambria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.44
Promoting Interoperability100
Improvement Activities40
Cost52.23

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers19 claims247 services$19.17 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers19 claims630 services$2.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers42 claims122 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims20 services$0.96 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers337 claims337 services$184.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MUSHTAQ ALI SYED MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1265 WAYNE AVE STE 103
INDIANA, PA 15701
Indiana County (724) 463-1048
ALLISON LAUREL MATAVA CRNP
Nurse Practitioner (Primary Care)
1265 WAYNE AVE STE 103
INDIANA, PA 15701
Indiana County (724) 463-1048
INDIANA DIABETES & ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1265 WAYNE AVE STE 103
INDIANA, PA 15701
Indiana County (724) 463-1048

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 Annette Kubalek's NPI number?

The NPI number for Annette Kubalek is 1376089334. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Where is Annette Kubalek located?

Annette Kubalek practices at 1265 Wayne Ave Ste 103, Indiana, PA 15701. The listed phone number is (724) 463-1048.

What is Annette Kubalek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Annette Kubalek enrolled in Medicare?

Yes. Annette Kubalek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Annette Kubalek affiliated with any hospitals?

According to CMS data, Annette Kubalek is affiliated with Allegheny Valley Hospital, Conemaugh Memorial Medical Center, Indiana Regional Medical Center, Punxsutawney Area Hospital and Conemaugh Miners Medical Center.

When was this NPI record last updated?

The NPPES record for Annette Kubalek was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.