Individual provider Active NPI

Valerie Fonarev, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1407336175
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018034 Issued in PA
Practice address
969 Greentree Rd Ste 100
Pittsburgh, PA 15220-3328
Phone
(412) 922-5250
Fax
(412) 920-8162
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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 SP018034 PA Primary

Addresses

Primary practice location

969 Greentree Rd Ste 100
Pittsburgh, PA 15220-3328

Mailing address

838 Emerald Dr
New Kensington, PA 15068-1782
Phone (412) 953-9742

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vfonarev226556@direct.ahn.org Direct

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
I20190531001775 PA Practitioner - Nurse Practitioner 5698008944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018034PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Medical Oncology CurrentSince Apr 17, 2019 Accepting new patients
Allegheny Clinic PastSince Nov 1, 2020 Accepting new patients
Allegheny Clinic Pediatrics PastSince Jan 22, 2023 Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

2626 Haymaker Rd
#2
Monroeville, PA 15146
Phone (412) 373-4411

247 Morewood Ave
Pittsburgh, PA 15213
Phone (412) 622-0290

Interoperability endpoints

  • Direct secure messaging: vfonarev226556@direct.ahn.org
  • Direct secure messaging: valerie.fonarev2@upmcdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1407336175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 EMERALD DR",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150681782",
            "telephone_number": "412-953-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 GREENTREE RD STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203328",
            "telephone_number": "412-922-5250",
            "fax_number": "412-920-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONAREV",
        "first_name": "VALERIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vfonarev226556@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2626 Haymaker Rd Fl 2",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.