Individual provider Active NPI

Alexis Cheyenne Eytcheson, MSN, CRNP, FNP-C

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1326818121
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029024 Issued in PA
Practice address
1001 Liberty Ave Ste 5
Pittsburgh, PA 15222-3715
Phone
(855) 706-5387
NPI assigned
Jan 3, 2024
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 SP029024 PA Primary

Addresses

Primary practice location

1001 Liberty Ave Ste 5
Pittsburgh, PA 15222-3715

Mailing address

400 Mosites Way
Pittsburgh, PA 15205-1342

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
I20240326000599 PA Order and Referring Only - Nurse Practitioner 2567809684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
SP029024PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbe Senior Medical Group of Pennsylvania PC CurrentSince Jan 7, 2024 Accepting new patients

Locations

1001 Liberty Ave
Ste 5
Pittsburgh, PA 15222
Phone (855) 493-5523

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1326818121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MOSITES WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LIBERTY AVE STE 5",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223715",
            "telephone_number": "855-706-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYTCHESON",
        "first_name": "ALEXIS",
        "middle_name": "CHEYENNE",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.