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

Individual provider Acute Care Nurse Practitioner · NPI 1003993007

Mrs. Kimberly R. Wisniewski, CRNP is a Nurse Practitioner in Johnstown, Pennsylvania. Qualified in 2001, 25 years ago. Practices with Vantage Physical Therapy and Rehabilitation Inc, a 244-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
25
Licensed in
PA
In the registry since
2006
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

321 Main St Ste 5 G
Johnstown, PA 15901-1632
Phone: (814) 535-7721
Fax: (814) 535-2105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence VP006908M (PA)

Record details

NPI number1003993007
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Vantage Physical Therapy And Rehabilitation Inc — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnstown