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DARREN PETRUNAK CRNP
NPI 1972251833
Nurse Practitioner - Family in Altoona, PA

Active since March 10, 2022PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
1701 12TH AVE, ALTOONA, PA 16601(814) 942-9600(814) 942-9617 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2024, Aug 21, 2024, Mar 11, 2022 (3 updates tracked since 2022).

About Darren Petrunak Crnp NPPES

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

DARREN PETRUNAK CRNP (NPI 1972251833) is an individual family provider in Altoona, Pennsylvania, licensed in Pennsylvania (SP025483) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Nason Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972251833
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDARREN PETRUNAKCredential: CRNP
Location Address1701 12TH AVEAltoona, PA 16601-3100
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (814) 942-9600 · Fax (814) 942-9617
Phone(814) 942-9600
Fax(814) 942-9617
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 10, 2022
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1972251833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP025483
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP025483 (PA)
1701 12TH AVE, Altoona, PA 16601
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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

Darren Petrunak 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.

PECOS PAC ID3476949264
PECOS Enrollment IDI20220404001288
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 2

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.
23 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Other Providers at the Same Location NPPES 20

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

BLAIR COUNTY ANESTHESIA, P.C.
Anesthesiology
1701 12TH AVE, SUITE G2
ALTOONA, PA 16601
Blair County (841) 943-5901
PRIMARY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 12TH AVE
ALTOONA, PA 16601
Blair County (814) 942-9600
ALLISON KEHOE MPAS, PAC
Physician Assistant
1701 12TH AVE, BUILDING A
ALTOONA, PA 16601
Blair County (814) 944-5062
LIANG R. BARTKOWIAK M.D.
Obstetrics & Gynecology
1701 12TH AVE, BUILDING A
ALTOONA, PA 16601
Blair County (814) 944-7097
ALTOONA OB/GYN ASSOCIATES, INC.
Obstetrics & Gynecology
1701 12TH AVE, BUILDING A
ALTOONA, PA 16601
Blair County (814) 944-5062
SHADAB KALIM
Internal Medicine (Geriatric Medicine)
1701 12TH AVE
ALTOONA, PA 16601
Blair County (814) 942-9600
SWATHI MALEPATI D.O.
Obstetrics & Gynecology
1701 12TH AVE
ALTOONA, PA 16601
Blair County (814) 944-7097
DR. JOHN F REINHARDT D.O.
Family Medicine
1701 12TH AVE, BLDG G-1
ALTOONA, PA 16601
Blair County (814) 942-1881

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 Darren Petrunak's NPI number?

The NPI number for Darren Petrunak is 1972251833. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Darren Petrunak located?

Darren Petrunak practices at 1701 12th Ave, Altoona, PA 16601. The listed phone number is (814) 942-9600.

What is Darren Petrunak's specialty?

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

Is Darren Petrunak enrolled in Medicare?

Yes. Darren Petrunak 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 Darren Petrunak affiliated with any hospitals?

According to CMS data, Darren Petrunak is affiliated with Conemaugh Nason Medical Center and Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Darren Petrunak was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.