Individual provider Active NPI

Michael Giovanni Marek, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wexford, PA
National Provider Identifier
1285004853
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP015183 Issued in PA
Practice address
117 Vip Dr Ste 310
Wexford, PA 15090-6936
Phone
(724) 934-3905
Fax
(724) 934-3906
NPI assigned
Sep 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP015183 PA Primary

Addresses

Primary practice location

117 Vip Dr Ste 310
Wexford, PA 15090-6936

Mailing address

117 Vip Dr Ste 310
Wexford, PA 15090-6936
Phone (724) 934-3905

Other practice location 1

3 Robinson Plz Ste 340
Pittsburgh, PA 15205-1018
Phone (724) 934-3905

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
I20151203001465 PA Practitioner - Nurse Practitioner 0749580389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

110 Hidden Valley Rd
MC Murray, PA 15317-2685
Phone (724) 374-3468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015183PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

3 Robinson Plz
Ste 340
Pittsburgh, PA 15205
Phone (412) 254-8348

117 Vip Dr
Ste 310
Wexford, PA 15090
Phone 7249343905205

Interoperability endpoints

  • Direct secure messaging: michaelmarek@hvhs.allscriptsdirect.net

Organizations & group practices 1

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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1285004853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 VIP DR STE 310",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906936",
            "telephone_number": "724-934-3905",
            "fax_number": "724-934-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VIP DR STE 310",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906936",
            "telephone_number": "724-934-3905",
            "fax_number": "724-934-3906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Robinson Plz Ste 340",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152051018",
            "country_code": "US",
            "telephone_number": "724-934-3905",
            "fax_number": "724-934-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAREK",
        "first_name": "MICHAEL",
        "middle_name": "GIOVANNI",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP015183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.