Individual provider Active NPI

Justine Michael Sicari

  • Critical Care Medicine Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1396387114
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
SP020972 Issued in PA
Practice address
490 E North Ave Ste 300
Pittsburgh, PA 15212-4771
Phone
(412) 322-7202
Fax
(412) 322-2144
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X SP020972 PA Primary

Addresses

Primary practice location

490 E North Ave Ste 300
Pittsburgh, PA 15212-4771

Mailing address

490 E North Ave Ste 300
Pittsburgh, PA 15212-4771
Phone (412) 322-7202

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsicari255967@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
I20200309002512 PA Practitioner - Nurse Practitioner 6002244803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

490 E N Ave
Suite 300
Pittsburgh, PA 15212-4771
Phone (412) 322-7202

Hospital & facility affiliations

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
SP020972PAMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Feb 10, 2020 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Feb 10, 2020 Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

2566 Haymaker Rd
Ste 306
Monroeville, PA 15146
Phone (412) 457-0100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

200 Quinn Dr
Ste 210
Pittsburgh, PA 15275
Phone (412) 294-1277

490 E North Ave
Ste 300
Pittsburgh, PA 15212
Phone (412) 321-3344

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: jsicari255967@direct.ahn.org

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1396387114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124771",
            "telephone_number": "412-322-7202",
            "fax_number": "412-322-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124771",
            "telephone_number": "412-322-7202",
            "fax_number": "412-322-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICARI",
        "first_name": "JUSTINE",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "PA",
            "license": "SP020972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsicari255967@direct.ahn.org",
            "affiliation": "N",
            "address_1": "490 E North Ave Ste 300",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.