Individual provider Active NPI

Jerrod Nestor

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1326678582
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021424 Issued in PA
Practice address
1200 Reedsdale St
Pittsburgh, PA 15233-2109
Phone
(877) 637-2924
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN663829 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP021424 PA Primary

Addresses

Primary practice location

1200 Reedsdale St
Pittsburgh, PA 15233-2109

Mailing address

PO Box 226
Muse, PA 15350-0226

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
I20200507000256 PA Practitioner - Nurse Practitioner 9931530946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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

State licenses

LicenseStateTypeSpecialty
RN663829PAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Institute, LLC CurrentSince Mar 4, 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

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, 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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1326678582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "MUSE",
            "state": "PA",
            "postal_code": "153500226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 REEDSDALE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152332109",
            "telephone_number": "877-637-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTOR",
        "first_name": "JERROD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN663829",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.