Individual provider Active NPI

Sheri Lynn Gongaware-Fitzpatrick, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1396119673
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP 015276 Issued in PA
Practice address
200 Cedar Ridge Dr
Suite 212
Pittsburgh, PA 15205-9691
Phone
(877) 317-0216
NPI assigned
Nov 24, 2015
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 SP 015276 PA Primary

Addresses

Primary practice location

200 Cedar Ridge Dr
Suite 212
Pittsburgh, PA 15205-9691

Mailing address

171 Sonnie Dr
PO Box 25
Crabtree, PA 15624-0025
Phone (412) 558-0592

Other names 1

  • Sheri Lynn Gongaware Former name

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
I20160523001127 PA Practitioner - Nurse Practitioner 6901109149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Cameo LN
Greensburg, PA 15601-9230
Phone (724) 834-1326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP 015276PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince May 15, 2023 Accepting new patients
Quality Medical Associates, PC CurrentSince May 27, 2021 Accepting new patients
Excela Health Physician Practices, Inc CurrentSince May 15, 2023 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

612 N Main St
Butler, PA 16001
Phone 72443107702101

300 Cameo Ln
Greensburg, PA 15601
Phone (724) 834-1326

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

126 Iron Bridge Rd
Sarver, PA 16055
Phone (724) 353-1531

120 Lakeside Dr
Worthington, PA 16262
Phone (724) 445-3000

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": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1396119673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SONNIE DR",
            "address_2": "PO BOX 25",
            "city": "CRABTREE",
            "state": "PA",
            "postal_code": "156240025",
            "telephone_number": "412-558-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CEDAR RIDGE DR",
            "address_2": "SUITE 212",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152059691",
            "telephone_number": "877-317-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONGAWARE-FITZPATRICK",
        "first_name": "SHERI",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP 015276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "GONGAWARE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.