Individual provider Active NPI

Emily Jane McCormish, NP-C

  • Family Nurse Practitioner
  • Allison Park, PA
National Provider Identifier
1093094922
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011526 Issued in PA
Practice address
3402 Route 8
Allison Park, PA 15101-3801
Phone
(412) 486-3181
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 SP011526 PA Primary

Addresses

Primary practice location

3402 Route 8
Allison Park, PA 15101-3801

Mailing address

3402 Route 8
Allison Park, PA 15101-3801
Phone (412) 486-3181

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
I20111114000449 PA Practitioner - Nurse Practitioner 0143494997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians
Pittsburgh Gynob IncGroup PAC ID 0345212536, 6 clinicians

Practice addresses (Care Compare)

316 Allegheny Blvd
Suite B
Franklin, PA 16323-6208
Phone (814) 432-7200

3402 William Flynn Hwy
Allison Park, PA 15101-3801
Phone (412) 486-3181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP011526PAMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1093094922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 ROUTE 8",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013801",
            "telephone_number": "412-486-3181",
            "fax_number": "412-486-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 ROUTE 8",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013801",
            "telephone_number": "412-486-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMISH",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.