Individual provider Active NPI

Rose Wilson

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1295493500
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP024882 Issued in PA
Practice address
4100 Allequippa Street
Pittsburgh, PA 15240
Phone
(412) 822-2222
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 SP024882 PA Primary

Addresses

Primary practice location

4100 Allequippa Street
Pittsburgh, PA 15240

Mailing address

265 46TH St Apt 2104
Pittsburgh, PA 15201-2858
Phone (412) 638-0206

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
I20221019002121 PA Practitioner - Nurse Practitioner 0042686842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognitive Behavior Institute, LLCGroup PAC ID 7810213337, 30 clinicians

Practice addresses (Care Compare)

125 Emeryville Dr
230 Cognitive Behavior Institute
Cranberry TWP, PA 16066-5013
Phone (724) 609-5002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Institute, LLC CurrentSince Oct 10, 2023 Accepting new patients
Jeffrey C. Wilson, MD, RP LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

125 Emeryville Dr
Ste 230
Cranberry Twp, PA 16066
Phone (724) 609-5002

5 Saint Francis Way
Cranberry Twp, PA 16066
Phone (724) 772-5350

151 Roessler Rd
Ste 325
Pittsburgh, PA 15220

1910 Cochran Rd
Ste 325
Pittsburgh, PA 15220
Phone (724) 609-5002

1151 Freeport Rd
Pittsburgh, PA 15238
Phone (412) 781-3578

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1295493500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 46TH ST APT 2104",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012858",
            "telephone_number": "412-638-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 ALLEQUIPPA STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15240",
            "telephone_number": "412-822-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.