Individual provider Active NPI

Kristin Marie Heitzenrater, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1386077188
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013023 Issued in PA
Practice address
651 Holiday Dr
Pittsburgh, PA 15220-2740
Phone
(412) 922-8490
Fax
(412) 921-1194
NPI assigned
Aug 15, 2013
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013023 PA Primary

Addresses

Primary practice location

651 Holiday Dr
Pittsburgh, PA 15220-2740

Mailing address

651 Holiday Dr
Pittsburgh, PA 15220-2740
Phone (412) 922-8490

Other names 1

  • Kristin Marie Hasis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kheitzenrater131478@direct.ahn.org

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
I20131014000575 PA Practitioner - Nurse Practitioner 5395979017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013023PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince May 8, 2017 Accepting new patients
Allegheny Clinic CurrentSince May 8, 2017 Accepting new patients
Allegheny Clinic Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

651 Holiday Dr
Pittsburgh, PA 15220
Phone (412) 922-8490

651 Holiday Dr
Ste 100
Pittsburgh, PA 15220
Phone (412) 922-8490

Interoperability endpoints

  • Direct secure messaging: kheitzenrater131478@direct.ahn.org
  • Direct secure messaging: kristin.m.heitzenrater@upmcdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1386077188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 HOLIDAY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202740",
            "telephone_number": "412-922-8490",
            "fax_number": "412-921-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HOLIDAY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202740",
            "telephone_number": "412-922-8490",
            "fax_number": "412-921-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITZENRATER",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kheitzenrater131478@direct.ahn.org",
            "affiliation": "N",
            "address_1": "651 Holiday Dr",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152202740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "HASIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.