Individual provider Active NPI

Alysa Yvonne Pivik

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1205586377
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025517 Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 552-8571
Fax
(412) 359-3282
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 SP025517 PA Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 552-8571

Other practice location 1

100 Chambers St
Cumberland, RI 02864-7724
Phone (412) 552-8571

Other practice location 2

885 3rd Ave Fl 28
New York, NY 10022-4834
Phone (412) 552-8571

Other identifiers 1

IdentifierTypeStateIssuer
SP025517OtherPAPA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VT, WV, RI, NH, VA, NM, MD, DC9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20220506000077 PA Practitioner - Nurse Practitioner 9638556947 Reassigns benefits to 5 organizations
I20250219002653 VT Practitioner - Nurse Practitioner 9638556947 Reassigns benefits to 3 organizations
I20250221001582 WV Practitioner - Nurse Practitioner 9638556947 Reassigns benefits to 4 organizations
I20250924002167 RI Practitioner - Nurse Practitioner 9638556947 Reassigns benefits to 3 organizations
I20251222003365 NH Practitioner - Nurse Practitioner 9638556947 Reassigns benefits to 3 organizations
I20260212000371 VA Practitioner - Nurse Practitioner 9638556947 Reassigns benefits to 2 organizations
I20260306001650 NM Practitioner - Nurse Practitioner 9638556947 Reassigns benefits to 3 organizations
I20260401001909 MD Practitioner - Nurse Practitioner 9638556947 Reassigns benefits to 1 organization
I20260401003041 DC Practitioner - Nurse Practitioner 9638556947 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
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

100 Chambers St
Cumberland, RI 02864-7724
Phone (212) 734-6621

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (212) 734-6621

11 Dairy LN
Fredericksburg, VA 22405-2663
Phone (212) 734-6621

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

1390 N Poplar Fork Rd
Hurricane, WV 25526-7112
Phone (212) 734-6621

20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621

320 E N Ave
Pittsburgh, PA 15212-4756

4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782

596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (212) 734-6621

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Dr Rebman Medical PA CurrentSince Dec 16, 2025 Accepting new patients
Dr Rebman BH LLC CurrentSince Dec 25, 2025 Accepting new patients
Allegheny Clinic CurrentSince Apr 6, 2022 Accepting new patients
Ivy Medical Group PLLC CurrentSince Nov 19, 2024 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Aug 19, 2025 Accepting new patients
Allegheny Clinic CurrentSince Apr 6, 2022 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

20 Maitland St
Concord, NH 03301
Phone (516) 817-7093

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

885 3rd Ave
New York, NY 10022
Phone (212) 906-1200

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

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

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

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

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

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

100 Chambers St
Cumberland, RI 02864
Phone (401) 724-7500

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

596 Sheldon Rd
Saint Albans, VT 05478
Phone (802) 524-6534

1390 N Poplar Fork Rd
Hurricane, WV 25526
Phone (304) 757-7826

Interoperability endpoints

  • Direct secure messaging: apivik71170@direct.ahn.org

Organizations & group practices 9

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1205586377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-552-8571",
            "fax_number": "412-359-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-552-8571",
            "fax_number": "412-359-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Chambers St",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028647724",
            "country_code": "US",
            "telephone_number": "412-552-8571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 3rd Ave Fl 28",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100224834",
            "country_code": "US",
            "telephone_number": "412-552-8571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIVIK",
        "first_name": "ALYSA",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICAL LICENSE",
            "identifier": "SP025517",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.