LANNETTE MARIE FETZER CRNP, FNP-BC
NPI 1760119614
Nurse Practitioner - Family in Tyrone, PA

Active since August 02, 2022PECOS EnrolledAccepts Medicare Assignment
4136 GREEN GATES LN, TYRONE, PA 16686 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lannette Marie Fetzer Crnp, Fnp-bc NPPES

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

LANNETTE MARIE FETZER CRNP, FNP-BC (NPI 1760119614) is an individual family provider in Tyrone, Pennsylvania, licensed in Pennsylvania (SP021432) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Nason Medical Center, and maintains a secondary practice location in Tyrone.

NPPES Registry Identity

NPI1760119614
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLANNETTE MARIE FETZERCredential: CRNP, FNP-BC
Location Address4136 GREEN GATES LNTyrone, PA 16686-3032
Mailing Address4136 Green Gates LnTyrone, PA 16686-3032 · (814) 880-8506
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 2, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1760119614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP021432
4136 GREEN GATES LN, Tyrone, PA 16686

Secondary Practice Location 1

Location 14136 Green Gates LnTyrone, PA 16686-3032

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

Lannette Marie Fetzer Crnp, Fnp-bc 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 ID6800325663
PECOS Enrollment IDI20250123000214
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lannette Fetzer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
105 NASON DR
Roaring Spring, PA 16673
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 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.

Hospital Affiliations CMS Care Compare

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

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16686 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.

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 Lannette Fetzer's NPI number?

The NPI number for Lannette Fetzer is 1760119614. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Lannette Fetzer located?

Lannette Fetzer practices at 4136 Green Gates Ln, Tyrone, PA 16686.

What is Lannette Fetzer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lannette Fetzer enrolled in Medicare?

Yes. Lannette Fetzer 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 Lannette Fetzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lannette Fetzer reassigns Medicare benefits to 2 organizations: Dlp Conemaugh Physician Practices LLC (Roaring Spring, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Lannette Fetzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lannette Fetzer affiliated with any hospitals?

According to CMS data, Lannette Fetzer is affiliated with Conemaugh Nason Medical Center.

When was this NPI record last updated?

The NPPES record for Lannette Fetzer was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.