Active NPI
Carolyn June Verbanic, CRNP
- Family Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1114949435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA05675
- Practice address
- 1010 Delafield Rd
Pittsburgh, PA 15215-1802 - Phone
- (412) 822-3000
- NPI assigned
- Jul 24, 2006
- Last updated
- Feb 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA05675 | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | TP005634W | PA |
Addresses
Primary practice location
1010 Delafield Rd
Pittsburgh, PA 15215-1802
Mailing address
1010 Delafield Rd
Pittsburgh, PA 15215-1802
Phone (412) 897-2479
Other practice location 1
17 E Broad St
Newton Falls, OH 44444-1604
Phone (330) 872-3273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058790 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905000467 | PA | Order and Referring Only - Nurse Practitioner | 8123009859 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA05675 | OH | MD | Family Nurse Practitioner |
| TP005634W | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Kidney Disease & Hypertension, P.C. | Past | Accepting new patients | |
| Pittsburgh Nephrology Associates, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Clairton, PA
- NPI 1124044409
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1396726949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1114949435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 DELAFIELD RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152151802",
"telephone_number": "412-897-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 DELAFIELD RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152151802",
"telephone_number": "412-822-3000"
}
],
"practiceLocations": [
{
"address_1": "17 E Broad St",
"address_purpose": "LOCATION",
"city": "Newton Falls",
"state": "OH",
"postal_code": "444441604",
"country_code": "US",
"telephone_number": "330-872-3273",
"fax_number": "330-609-5056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERBANIC",
"first_name": "CAROLYN",
"middle_name": "JUNE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA05675",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "TP005634W",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058790",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.