Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael C Neiswonger, CRNP

Individual provider Family Nurse Practitioner · NPI 1598748022

Michael C Neiswonger, CRNP is a Nurse Practitioner in East Brady, Pennsylvania. Qualified in 2003, 23 years ago. Practices with Primary Health Network, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

419 Kellys Way
East Brady, PA 16028-2003
Phone: (724) 526-5600
Fax: (724) 526-3289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 296 Church St, Petrolia, PA 16050-3006 — (724) 756-2940

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP008188 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN507498L (PA)

Record details

NPI number1598748022
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Primary Health Network — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount