Individual provider Active NPI

Shannon Marie Riccobelli

  • Family Nurse Practitioner
  • Jefferson Hills, PA
National Provider Identifier
1144866534
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020880 Issued in PA
Practice address
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone
(412) 469-5000
NPI assigned
Nov 21, 2019
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 SP020880 PA Primary

Addresses

Primary practice location

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703

Mailing address

4748 Old Boston Rd
Pittsburgh, PA 15227-1114

Other practice location 1

695 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone (412) 653-5556

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
I20200304001942 PA Practitioner - Nurse Practitioner 8325475320 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

695 Clairton Blvd
Pleasant Hills, PA 15236-3811
Phone (412) 653-5556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020880PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of Pittsburgh LTD. CurrentSince Jan 1, 2023 Accepting new patients
Ahn Emergency Group of Jefferson LTD CurrentSince Feb 12, 2020 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Feb 1, 2023 Accepting new patients
Ahn Observation Group LLC CurrentSince Jan 1, 2022 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Feb 1, 2023 Accepting new patients
Ahn Emergency Group of Canonsburg LTD. CurrentSince Aug 31, 2021 Accepting new patients
Ucmg LLC CurrentSince Jun 1, 2025 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

3516 Saw Mill Run Blvd
Pittsburgh, PA 15227
Phone (412) 564-6470

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

695 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 653-5556

Interoperability endpoints

  • Direct secure messaging: sriccobelli20729@gohealthupmc.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1144866534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 OLD BOSTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152271114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-469-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 Clairton Blvd",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hills",
            "state": "PA",
            "postal_code": "152363811",
            "country_code": "US",
            "telephone_number": "412-653-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCOBELLI",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.