Individual provider Active NPI

Pamela Ann Rodriguez, CRNP

  • Family Nurse Practitioner
  • Carnegie, PA
National Provider Identifier
1417464959
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018150 Issued in PA
Practice address
2375 Greentree Rd
Carnegie, PA 15106-4203
Phone
(412) 531-2902
Fax
(412) 531-2948
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 SP018150 PA Primary

Addresses

Primary practice location

2375 Greentree Rd
Carnegie, PA 15106-4203

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

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
I20180314000988 PA Practitioner - Nurse Practitioner 4789946575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Primary Care Physicians, Inc.Group PAC ID 8527967256, 88 clinicians

Practice addresses (Care Compare)

1168 Washington Pike
Bridgeville, PA 15017-2828
Phone (412) 257-2050

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as group
Quality
90.46
Promoting interoperability
100
Improvement activities
40
Cost
78.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. CurrentSince Mar 5, 2018 Accepting new patients
Preferred Primary Care Physicians CurrentSince Mar 5, 2018 Accepting new patients
Preferred Primary Care Physicians, Inc. Current Accepting new patients

Locations

2000 Oxford Dr
Ste 560
Bethel Park, PA 15102
Phone (412) 831-1522

1168 Washington Pike
Bridgeville, PA 15017
Phone (412) 257-2050

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

17 Arentzen Blvd
Ste 101
Charleroi, PA 15022
Phone (724) 482-3581

1910 Cochran Rd
Ste 490
Pittsburgh, PA 15220

1145 Bower Hill Rd
Ste 204
Pittsburgh, PA 15243
Phone (412) 273-3050

Interoperability endpoints

  • Direct secure messaging: pamelarodriguezcrnp@preferred.medentdirect.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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1417464959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 GREENTREE RD",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151064203",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carnegie, PA

Sources for this page

Verify at the official NPI Registry.