Individual provider Active NPI

Peyton Elise Coleman, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1326719998
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024323 Issued in PA
Practice address
107 Gamma Dr
Pittsburgh, PA 15238-2917
Phone
(412) 963-6677
NPI assigned
Sep 23, 2021
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 SP024323 PA Primary

Addresses

Primary practice location

107 Gamma Dr
Pittsburgh, PA 15238-2917

Mailing address

330 Sugar Run Rd
Waynesburg, PA 15370-3636
Phone (724) 833-7714

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
I20211123001965 PA Practitioner - Nurse Practitioner 8527458017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Geskin Medical LLCGroup PAC ID 4981006640, 20 clinicians

Practice addresses (Care Compare)

1633 Route 51
Suite 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-3019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golla Center for Plastic Surgery, P.C. Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients

Locations

107 Gamma Dr
Ste 210
Pittsburgh, PA 15238
Phone 4129636677106

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, 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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1326719998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SUGAR RUN RD",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153703636",
            "telephone_number": "724-833-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382917",
            "telephone_number": "412-963-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PEYTON",
        "middle_name": "ELISE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.