Individual provider Active NPI

Beth Renee Blinn, CRNP

  • Acute Care Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1043470198
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
VP004291M Issued in PA
Practice address
4727 Friendship Ave Ste 140
Pittsburgh, PA 15224-1778
Phone
(412) 235-5885
Fax
(412) 235-5886
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X VP004291M PA Primary

Addresses

Primary practice location

4727 Friendship Ave Ste 140
Pittsburgh, PA 15224-1778

Mailing address

2585 Freeport Road
Suite 105
Pittsburgh, PA 15238-1426
Phone (412) 828-4409

Other names 1

  • Beth Renee McDeavitt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bblinn73856@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000649 PA Practitioner - Nurse Practitioner 6002981461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Suite 2
Pittsburgh, PA 15212-4769
Phone (877) 660-6777

Hospital & facility affiliations

  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VP004291MPAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Apr 1, 2019 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Apr 1, 2019 Accepting new patients

Locations

4727 Friendship Ave
Ste 140
Pittsburgh, PA 15224
Phone (412) 235-5885

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

1307 Federal St
Ste 2
Pittsburgh, PA 15212
Phone (412) 330-4461

2585 Freeport Rd
Ste 105
Pittsburgh, PA 15238
Phone (412) 235-5885

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1043470198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 FREEPORT ROAD",
            "address_2": "SUITE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381426",
            "telephone_number": "412-828-4409",
            "fax_number": "412-828-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 FRIENDSHIP AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241778",
            "telephone_number": "412-235-5885",
            "fax_number": "412-235-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINN",
        "first_name": "BETH",
        "middle_name": "RENEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "VP004291M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bblinn73856@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4727 Friendship Ave Ste 140",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152241778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MCDEAVITT",
            "middle_name": "RENEE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.