Individual provider Active NPI

Amber Marie Grinnell

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1083089783
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015650 Issued in PA
Practice address
127 Anderson St
Pittsburgh, PA 15212-5803
Phone
(412) 322-4151
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 SP015650 PA Primary

Addresses

Primary practice location

127 Anderson St
Pittsburgh, PA 15212-5803

Mailing address

844 N Sheridan Ave
Pittsburgh, PA 15206-2286
Phone (412) 849-4450

Other practice location 1

2323 Lee Rd
Cleveland, OH 44118-3413
Phone (216) 360-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180813000143 PA Practitioner - Nurse Practitioner 8921356643 Reassigns benefits to 1 organization
I20230901001226 OH Practitioner - Nurse Practitioner 8921356643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Outreach Wellness CenterGroup PAC ID 6507186772, 43 clinicians

Practice addresses (Care Compare)

127 Anderson St
Suite 101
Pittsburgh, PA 15212-5803
Phone (412) 322-4151

2323 Lee Rd
Cleveland Heights, OH 44118-3413
Phone (216) 350-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015650PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmopolitan Dermatology, Inc. CurrentSince Jun 27, 2023 Accepting new patients
Washington Wellness Institute, LLC Past Accepting new patients

Locations

2323 Lee Rd
Cleveland Hts, OH 44118
Phone (216) 235-0408

Interoperability endpoints

  • Direct secure messaging: agrinnell656415@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1083089783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N SHERIDAN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152062286",
            "telephone_number": "412-849-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ANDERSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125803",
            "telephone_number": "412-322-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Lee Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441183413",
            "country_code": "US",
            "telephone_number": "216-360-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINNELL",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.