Individual provider Active NPI

Maura Kathleen Mineo

  • Family Nurse Practitioner
  • Butler, PA
National Provider Identifier
1225716558
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026411 Issued in PA
Practice address
200 Renaissance Dr Ste 105
Butler, PA 16001-7612
Phone
(724) 224-5440
NPI assigned
Jul 6, 2023
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 SP026411 PA Primary

Addresses

Primary practice location

200 Renaissance Dr Ste 105
Butler, PA 16001-7612

Mailing address

117 Ziegler St
Mars, PA 16046-2843
Phone (724) 417-6591

Other practice location 1

2550 Mosside Blvd
Monroeville, PA 15146-3540
Phone (724) 224-5440

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926000022 PA Practitioner - Nurse Practitioner 5092169011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kumar Patel MD LLCGroup PAC ID 3173712304, 4 clinicians

Practice addresses (Care Compare)

301 5TH Ave
Suite 100
Tarentum, PA 15084-1863
Phone (724) 224-5440

701 Sharon Rd
Suite 3
Beaver, PA 15009-3147
Phone (724) 224-5440

95 Leonard Ave
Suite 301
Washington, PA 15301-3368
Phone (724) 224-5440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Patel MD LLC CurrentSince Aug 28, 2023 Accepting new patients
Advanced Allergy & Asthma LLC Past Accepting new patients

Locations

605 Sharon Rd
Beaver, PA 15009
Phone (724) 728-3302

301 5th Ave
Tarentum, PA 15084
Phone (724) 224-5165

301 5th Ave
Ste 100
Tarentum, PA 15084

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1225716558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ZIEGLER ST",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462843",
            "telephone_number": "724-417-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RENAISSANCE DR STE 105",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017612",
            "telephone_number": "724-224-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Mosside Blvd",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463540",
            "country_code": "US",
            "telephone_number": "724-224-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINEO",
        "first_name": "MAURA",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.