Individual provider Active NPI

Jody Fulton Alexander, PA

  • Family Nurse Practitioner
  • Glenshaw, PA
National Provider Identifier
1316272016
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010560 Issued in PA
Practice address
136 Richard Dr
Glenshaw, PA 15116-1200
Phone
(724) 625-3171
NPI assigned
Oct 14, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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 SP010560 PA Primary

Addresses

Primary practice location

136 Richard Dr
Glenshaw, PA 15116-1200

Mailing address

PO Box 848
PO Box 848
Mars, PA 16046-0848
Phone (724) 625-3171

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
I20100115000243 PA Practitioner - Nurse Practitioner 5597807438 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

8000 Cranberry Springs Dr
Cranberry Township, PA 16066-6687

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Dec 18, 2019 Accepting new patients
Matrix Medical Plus CurrentSince Dec 1, 2022 Accepting new patients
Renaissance Family Practice-Upmc, Inc CurrentSince Dec 18, 2019 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Renaissance Family Practice-Upmc,Inc CurrentSince Dec 18, 2019 Accepting new patients
Syed S Hyder Past Accepting new patients
University of Pittsburgh Physicians Past Accepting new patients
Ars Treatment Centers, P.C. PastSince Nov 25, 2017 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4490 Mount Royal Blvd
Ste 1004
Allison Park, PA 15101
Phone (412) 218-0404

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

Interoperability endpoints

  • Direct secure messaging: jody.f.alexander2@upmcdirect.com

Organizations & group practices 10

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": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1316272016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "address_2": "PO BOX 848",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160460848",
            "telephone_number": "724-625-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 RICHARD DR",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151161200",
            "telephone_number": "724-625-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JODY",
        "middle_name": "FULTON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenshaw, PA

Sources for this page

Verify at the official NPI Registry.