Individual provider Active NPI

Dianne Jean Schrock, CRNP

  • Acute Care Nurse Practitioner
  • Monroeville, PA
National Provider Identifier
1417024795
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP008613 Issued in PA
Practice address
2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone
(412) 357-3000
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN545743 PA
Acute Care Nurse Practitioner 363LA2100X SP008613 PA Primary

Addresses

Primary practice location

2775 Mosside Blvd
Monroeville, PA 15146-2760

Mailing address

3431 Greenville Rd
Meyersdale, PA 15552-8403

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dianne.j.schrock@upmcdirect.com UPMC

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
I20080207000021 PA Practitioner - Nurse Practitioner 3274636592 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP008613PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 18, 2013 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 18, 2013 Accepting new patients
B.S.Mahal,MD & P.K. Kulkarni, MD,PA PastSince Oct 1, 1993 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1417024795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 GREENVILLE RD",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155528403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462760",
            "telephone_number": "412-357-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "DIANNE",
        "middle_name": "JEAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN545743",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP008613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dianne.j.schrock@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.