Individual provider Active NPI

Nicole Elaine Funt, P.A.-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1073575205
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003056L Issued in PA
Practice address
660 Washington Rd
Suite 201
Pittsburgh, PA 15228-1915
Phone
(412) 440-0270
Fax
(412) 440-0271
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003056L PA Primary

Addresses

Primary practice location

660 Washington Rd
Suite 201
Pittsburgh, PA 15228-1915

Mailing address

660 Washington Rd
Suite 201
Pittsburgh, PA 15228-1915
Phone (412) 440-0270

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
I20031211001112 PA Practitioner - Physician Assistant 6305742099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermeve PCGroup PAC ID 0042751562, 6 clinicians

Practice addresses (Care Compare)

607 Washington Rd
Lower Level
Pittsburgh, PA 15228-1903
Phone (412) 563-0217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Pittsburgh, LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicolefuntpa@mtlda.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073575205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WASHINGTON RD",
            "address_2": "SUITE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281915",
            "telephone_number": "412-440-0270",
            "fax_number": "412-440-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WASHINGTON RD",
            "address_2": "SUITE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281915",
            "telephone_number": "412-440-0270",
            "fax_number": "412-440-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNT",
        "first_name": "NICOLE",
        "middle_name": "ELAINE",
        "name_prefix": "Miss",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003056L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.