NPIMap

Individual provider Active NPI

Trissa Rhea Gustovich, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabeth, PA
National Provider Identifier
1336893650
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP024758 Issued in PA
Practice address
95 Enterprise St Ste 104
Elizabeth, PA 15037-2070
Phone
(412) 754-1100
Fax
(412) 465-5843
NPI assigned
Feb 6, 2022
Last updated
Feb 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024758 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP024758 PA Primary

Addresses

Primary practice location

95 Enterprise St Ste 104
Elizabeth, PA 15037-2070

Mailing address

95 Enterprise St Ste 104
Elizabeth, PA 15037-2070
Phone (412) 754-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221230000809 PA Practitioner - Nurse Practitioner 0749673937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanderson Psychological LLCGroup PAC ID 0941572184, 12 clinicians

Practice addresses (Care Compare)

95 Enterprise St
Suite 104
Elizabeth, PA 15037-2070
Phone (412) 754-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024758PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Specialists of Maryland, LLC Psychiatric/Mental Health CurrentSince Sep 17, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Sanderson Psychological, LLC CurrentSince Jan 3, 2026 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients

Locations

2702 Back Acre Cir
Ste 290B
Mount Airy, MD 21771
Phone (301) 760-3317

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

95 Enterprise St
Ste 104
Elizabeth, PA 15037
Phone (412) 754-1100

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4
  • Direct secure messaging: trissa.gustovich.1@11878.direct.athenahealth.com
  • Direct secure messaging: trissagustovich@emg.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1336893650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ENTERPRISE ST STE 104",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372070",
            "telephone_number": "412-754-1100",
            "fax_number": "412-465-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ENTERPRISE ST STE 104",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372070",
            "telephone_number": "412-754-1100",
            "fax_number": "412-465-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTOVICH",
        "first_name": "TRISSA",
        "middle_name": "RHEA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024758",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, PA

Sources for this page

Verify at the official NPI Registry.