Individual provider Active NPI

Maribeth Mastascusa, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1407060973
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP004071G Issued in PA
Practice address
200 Lothrop St
Room 9055
Pittsburgh, PA 15213-2536
Phone
(412) 802-8271
Fax
(412) 647-4486
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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 TP004071G PA Primary

Addresses

Primary practice location

200 Lothrop St
Room 9055
Pittsburgh, PA 15213-2536

Mailing address

1300 Oxford Dr Ste 2300
Bethel Park, PA 15102-1896
Phone (412) 854-3121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maribeth.mastascusa@upmcdirect.com

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
I20070905000246 PA Practitioner - Nurse Practitioner 7618060856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1300 Oxford Dr
Bethel Park, PA 15102-1896
Phone (412) 854-3121

300 Halket St
Pittsburgh, PA 15213-3108

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2010 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2010 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Upmc Magee-Womens Hospital Past Accepting new patients

Locations

1300 Oxford Dr
Ste 2C
Bethel Park, PA 15102
Phone (412) 687-0943

1300 Oxford Dr
Ste 2300
Bethel Park, PA 15102

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

1 Bigelow Sq
Ste 729
Pittsburgh, PA 15219
Phone (412) 281-1360

200 Lothrop St
Rm 9055
Pittsburgh, PA 15213
Phone (412) 647-8384

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1407060973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OXFORD DR STE 2300",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021896",
            "telephone_number": "412-854-3121",
            "fax_number": "412-641-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "ROOM 9055",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-802-8271",
            "fax_number": "412-647-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTASCUSA",
        "first_name": "MARIBETH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP004071G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maribeth.mastascusa@upmcdirect.com",
            "affiliation": "N",
            "address_1": "200 Lothrop St",
            "address_2": "Room 9055",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152132536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.