Ianua Health, LLC
NPI 1033853213 · Psychiatric/Mental Health Nurse Practitioner · North East, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ianua Health, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in North East, MD (NPI 1033853213).
Provider details
- NPI number
- 1033853213
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Antonio Pedulla, Owner(610) 998-3902
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ketaminds
Additional practice locations (1)
- 680 Fremont RdNottingham, PA 19362-9142Phone: (610) 998-3902Fax: (610) 702-8056
Registry dates
- Enumerated
- 2022-04-25
- Last updated
- 2023-05-17
- Certified
- 2023-05-17
Frequently asked questions
- What is Ianua Health, LLC's NPI number?
- Ianua Health, LLC's National Provider Identifier (NPI) is 1033853213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ianua Health, LLC?
- Ianua Health, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ianua Health, LLC located?
- Ianua Health, LLC's practice location on file with NPPES is 14 Rogers Rd Ste 211, North East, MD 21901-3612.
- What is Ianua Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ianua Health, LLC is (410) 280-7683.
- Does Ianua Health, LLC accept Medicare?
- Ianua Health, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ianua Health, LLC?
- The authorized official listed on Ianua Health, LLC's NPPES record is Antonio Pedulla, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ianua Health, LLC's NPI active?
- Yes — Ianua Health, LLC's NPI (1033853213) is active in the NPPES registry as of the last update on 2023-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.