Individual provider Active NPI

Trisha Domachowski, CRNP

  • Family Nurse Practitioner
  • Bethel Park, PA
National Provider Identifier
1417626136
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024350 Issued in PA
Practice address
2880 Industrial Blvd
Bethel Park, PA 15102-2534
Phone
(412) 854-7530
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 SP024350 PA Primary

Addresses

Primary practice location

2880 Industrial Blvd
Bethel Park, PA 15102-2534

Mailing address

2880 Industrial Blvd
Bethel Park, PA 15102-2534

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
I20220119000038 PA Practitioner - Nurse Practitioner 5395137699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1000 Cliffmine Rd
Pittsburgh, PA 15275-1022
Phone (412) 788-2582

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024350PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Oct 7, 2021 Accepting new patients
Upmc Community Medicine Inc CurrentSince Aug 29, 2022 Accepting new patients
St. Clair Medical Services Inc. CurrentSince Oct 7, 2021 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Aug 29, 2022 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1000 Cliffmine Rd
Ste 210
Pittsburgh, PA 15275
Phone (412) 787-8476

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: trisha.domachowski@upmcdirect.com

Organizations & group practices 7

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1417626136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 INDUSTRIAL BLVD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 INDUSTRIAL BLVD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022534",
            "telephone_number": "412-854-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMACHOWSKI",
        "first_name": "TRISHA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.