NPIMap

Individual provider Active NPI

Paul Robert Cooley Jr., CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1154088268
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024504 Issued in PA
Practice address
501 Penn Ave Ste 2
Pittsburgh, PA 15222-3224
Phone
(412) 442-2343
Fax
(412) 325-2536
NPI assigned
Nov 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP024504 PA
Family Nurse Practitioner 363LF0000X SP024504 PA Primary

Addresses

Primary practice location

501 Penn Ave Ste 2
Pittsburgh, PA 15222-3224

Mailing address

501 Penn Ave Ste 2
Pittsburgh, PA 15222-3224
Phone (412) 442-2343

Other identifiers 2

IdentifierTypeStateIssuer
103993702MedicaidPA
CAQHOther15509988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222000285 PA Practitioner - Nurse Practitioner 7517351349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

501 Penn Ave
Pittsburgh, PA 15222-3208
Phone (412) 359-3355

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Hospital & facility affiliations

  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024504PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Dec 16, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Dec 16, 2021 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

501 Penn Ave
Ste 2
Pittsburgh, PA 15222
Phone (412) 442-2343

Interoperability endpoints

  • Direct secure messaging: pcooley82760@direct.ahn.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1154088268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PENN AVE STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223224",
            "telephone_number": "412-442-2343",
            "fax_number": "412-325-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PENN AVE STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223224",
            "telephone_number": "412-442-2343",
            "fax_number": "412-325-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP024504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103993702",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "15509988",
            "identifier": "CAQH",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.