Individual provider Active NPI

Alexander Wrynn, FNP-C

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1194207902
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021422 Issued in PA
Practice address
420 E North Ave Ste 406
Pittsburgh, PA 15212-4746
Phone
(412) 359-3683
Fax
(412) 359-3373
NPI assigned
Aug 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP021422 PA Primary
Nurse Practitioner 363L00000X 343551 NY

Addresses

Primary practice location

420 E North Ave Ste 406
Pittsburgh, PA 15212-4746

Mailing address

420 E North Ave Ste 406
Pittsburgh, PA 15212-4746
Phone (412) 359-3683

Other identifiers 1

IdentifierTypeStateIssuer
103744171MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181128003032 NY Practitioner - Nurse Practitioner 5496099699 Reassigns benefits to 1 organization
I20200317000197 PA Practitioner - Nurse Practitioner 5496099699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
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)

420 E N Ave
Suite 406
Pittsburgh, PA 15212-4746
Phone (412) 359-3683

Hospital & facility affiliations

  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

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
343551NYMDMaternal & Fetal Medicine Physician
SP021422PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 24, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2018 Accepting new patients
Allegheny Clinic Current Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2018 Accepting new patients
Allegheny Clinic CurrentSince Aug 24, 2021 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

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

1307 Federal St
Ste B110
Pittsburgh, PA 15212
Phone (412) 359-3360

420 E North Ave
Ste 406
Pittsburgh, PA 15212
Phone (412) 359-3376

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: awrynn284530@direct.ahn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1194207902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE STE 406",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-3683",
            "fax_number": "412-359-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE STE 406",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-3683",
            "fax_number": "412-359-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRYNN",
        "first_name": "ALEXANDER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021422",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "343551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103744171",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.