Individual provider Active NPI

Mary Moore Brilmyer, RNCS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Pittsburgh, PA
National Provider Identifier
1255338935
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN224256L Issued in PA
Practice address
160 Southern Ave
Pittsburgh, PA 15211-1910
Phone
(412) 431-0711
Fax
(412) 431-0732
NPI assigned
Jul 7, 2005
Last updated
Nov 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN224256L PA Primary

Addresses

Primary practice location

160 Southern Ave
Pittsburgh, PA 15211-1910

Mailing address

160 Southern Ave
Pittsburgh, PA 15211-1910
Phone (412) 431-0711

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
I20040305000298 PA Practitioner - Certified Clinical Nurse Specialist (CNS) 0648168377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Psychiatric ServicesGroup PAC ID 9830434885, 3 clinicians

Practice addresses (Care Compare)

4900 Perry Hwy
Suite 1
Pittsburgh, PA 15229-2220
Phone (412) 307-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN224256LPAMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psychiatric Services CurrentSince Jan 1, 2019 Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

4900 Perry Hwy
Ste 1
Pittsburgh, PA 15229
Phone (412) 307-5600

Organizations & group practices 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1255338935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SOUTHERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111910",
            "telephone_number": "412-431-0711",
            "fax_number": "412-431-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SOUTHERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152111910",
            "telephone_number": "412-431-0711",
            "fax_number": "412-431-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILMYER",
        "first_name": "MARY",
        "middle_name": "MOORE",
        "credential": "RNCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN224256L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.