NPIMap

Individual provider Active NPI

Jorjette M. Mahoney, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1063796712
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP0011460 Issued in PA
Practice address
788 Washington Rd
Pittsburgh, PA 15228-2021
Phone
(412) 307-4609
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP0011460 PA Primary

Addresses

Primary practice location

788 Washington Rd
Pittsburgh, PA 15228-2021

Mailing address

333 Commerce St
Suite 700
Nashville, TN 37201-1826
Phone (615) 454-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008795 PA Practitioner - Nurse Practitioner 1658685524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians
Convalescent Center GroupGroup PAC ID 4789621533, 2 clinicians

Practice addresses (Care Compare)

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

506 Athena Dr
Delmont, PA 15626-1005
Phone (724) 468-6869

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP0011460PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convalescent Center Group CurrentSince Apr 1, 2021 Accepting new patients
Vish V.Iyer MD, PC CurrentSince Jan 2, 2023 Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Mar 1, 2023 Accepting new patients
Westmoreland County Past Accepting new patients

Locations

506 Athena Dr
Delmont, PA 15626

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

2480 S Grande Blvd
Greensburg, PA 15601
Phone (724) 830-4000

30 High St
Pittsburgh, PA 15223
Phone (412) 782-6800

103 Market St
Scottdale, PA 15683
Phone (724) 220-5422

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1063796712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST",
            "address_2": "SUITE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011826",
            "telephone_number": "615-454-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282021",
            "telephone_number": "412-307-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "JORJETTE",
        "middle_name": "M.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP0011460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.