Active NPI
Jennifer Lynn Mabold, CRNP
- Family Nurse Practitioner
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TP006405B
- Practice address
- 5115 Centre Ave FL 2
Pittsburgh, PA 15232-1301 - Phone
- (412) 692-2606
- Fax
- (412) 692-2610
- NPI assigned
- Feb 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TP006405B | PA | Primary |
Addresses
Primary practice location
5115 Centre Ave FL 2
Pittsburgh, PA 15232-1301
Mailing address
318 Glade Run Rd
Evans City, PA 16033-7720
Phone (724) 586-1192
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 |
|---|---|---|---|---|
| I20040210000512 | PA | Practitioner - Nurse Practitioner | 4385538545 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Pittsburgh Physicians
Practice addresses (Care Compare)
200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370
300 Halket St
Pittsburgh, PA 15213-3108
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- Quality
- 61.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP006405B | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Emergency Medicine Inc | Past | Accepting new patients | |
| Oncology Hematology Association Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
5115 Centre Ave
Fl 2
Pittsburgh, PA 15232
Phone (412) 623-3395
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
5115 Centre Ave
Fl 5
Pittsburgh, PA 15232
Phone (412) 692-4724
5150 Centre Ave
Shadyside, PA 15232
Phone (412) 623-4861
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1407804057
-
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1861469223
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1891744041
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164562492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 GLADE RUN RD",
"city": "EVANS CITY",
"state": "PA",
"postal_code": "160337720",
"telephone_number": "724-586-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 CENTRE AVE FL 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321301",
"telephone_number": "412-692-2606",
"fax_number": "412-692-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABOLD",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "TP006405B",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.