Individual provider Active NPI

Rachael Michelle Pataky, FNP-C, CRNP

  • Family Nurse Practitioner
  • Monroeville, PA
National Provider Identifier
1215662689
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025937 Issued in PA
Practice address
3824 Northern Pike Ste 200
Monroeville, PA 15146-2173
Phone
(412) 380-2800
Fax
(412) 380-2812
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 SP025937 PA Primary

Addresses

Primary practice location

3824 Northern Pike Ste 200
Monroeville, PA 15146-2173

Mailing address

3824 Northern Pike Ste 700
Monroeville, PA 15146-2184
Phone (412) 457-0060

Other practice location 1

4341 Northern Pike
Monroeville, PA 15146-2807
Phone (412) 816-2273

Other names 1

  • Rachael Michelle Tasik Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rachaelpataky@pmapa.allscriptsdirect.net Direct
Direct Messaging Address rachaelpataky@pmapa.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 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
I20221101000242 PA Practitioner - Nurse Practitioner 3779950969 Reassigns benefits to 1 organization
I20260527002974 WV Practitioner - Nurse Practitioner 3779950969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 W Washington St
Suite 1700
Chicago, IL 60606-3404

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbe Senior Medical Group of Pennsylvania PC CurrentSince Aug 1, 2023 Accepting new patients

Locations

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

Interoperability endpoints

  • Direct secure messaging: rpataky622616@direct.ahn.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1215662689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE STE 700",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462184",
            "telephone_number": "412-457-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE STE 200",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462173",
            "telephone_number": "412-380-2800",
            "fax_number": "412-380-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 Northern Pike",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462807",
            "country_code": "US",
            "telephone_number": "412-816-2273",
            "fax_number": "412-816-2329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATAKY",
        "first_name": "RACHAEL",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-10-12",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachaelpataky@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4341 Northern Pike",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachaelpataky@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3824 Northern Pike Ste 200",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "TASIK",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.