BETHANY WALERYSIAK CRNP
NPI 1477092716
Nurse Practitioner - Primary Care in Johnstown, PA
About Bethany Walerysiak Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY WALERYSIAK CRNP (NPI 1477092716) is an individual primary care provider in Johnstown, Pennsylvania, licensed in Pennsylvania (SP017221) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and maintains a secondary practice location in Windber.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bethany Walerysiak Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Bethany Walerysiak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Johnstown, PA 15904
- Reassigned Medicare billing, Pennsylvania enrollment
- 13 clinicians in this Medicare group
Windber, PA 15963
- Reassigned Medicare billing, Pennsylvania enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Conemaugh Memorial Medical Center
Acute Care Hospitals · Johnstown, PAChan Soon- Shiong Medical Center At Windber
Acute Care Hospitals · Windber, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
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 Bethany Walerysiak's NPI number?
The NPI number for Bethany Walerysiak is 1477092716. It was assigned to this individual provider in the NPPES registry on February 20, 2017.
Where is Bethany Walerysiak located?
Bethany Walerysiak practices at 241 Schoolhouse Rd Ste 201, Johnstown, PA 15904. The listed phone number is (814) 266-5650.
What is Bethany Walerysiak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Bethany Walerysiak enrolled in Medicare?
Yes. Bethany Walerysiak 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.
Which organizations bill Medicare for Bethany Walerysiak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Walerysiak reassigns Medicare benefits to 2 organizations: Alleghenies Independent Physicians PC (Johnstown, PA) and Windber Hospital, Inc. (Windber, PA). Each 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 Bethany Walerysiak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bethany Walerysiak affiliated with any hospitals?
According to CMS data, Bethany Walerysiak is affiliated with Conemaugh Memorial Medical Center and Chan Soon- Shiong Medical Center At Windber.
When was this NPI record last updated?
The NPPES record for Bethany Walerysiak was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Bethany Walerysiak, CRNP · NPI 1477092716
Primary Care physician in Johnstown, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 20, 2017.
## Identity
- **NPI:** 1477092716 (Entity type: Individual)
- **Enumerated:** February 20, 2017
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** SP017221 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 241 SCHOOLHOUSE RD STE 201, Johnstown, PA 15904-3239
- **Phone:** (814) 266-5650 · **Fax:** (814) 266-5653
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alleghenies Independent Physicians PC (NPI 1871535351, Johnstown, PA); Windber Hospital, Inc. (NPI 1689620411, Windber, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 22, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1477092716) · Data from the CMS NPPES public registry.