Active NPI
Ronald Alan Mennow Jr., CRNP
- Acute Care Nurse Practitioner
- Greensburg, PA
National Provider Identifier
1437435773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP011672
- Practice address
- 44 S Washington Ave
Greensburg, PA 15601-2768 - Phone
- (724) 689-1355
- Fax
- (724) 689-0544
- NPI assigned
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP011672 | PA | Primary |
Addresses
Primary practice location
44 S Washington Ave
Greensburg, PA 15601-2768
Mailing address
44 S Washington Ave
Greensburg, PA 15601-2768
Phone (724) 689-1355
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 Anderson St
Suite 101
Pittsburgh, PA 15212-5803
Phone (412) 322-4151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP011672 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Outreach Wellness Center | Current | Accepting new patients |
Locations
127 Anderson St
Ste 101
Pittsburgh, PA 15212
Phone (412) 322-4151
127 Anderson St
Pittsburgh, PA 15212
Phone (412) 322-4151
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1063804136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1437435773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 S WASHINGTON AVE",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156012768",
"telephone_number": "724-689-1355",
"fax_number": "724-689-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 S WASHINGTON AVE",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156012768",
"telephone_number": "724-689-1355",
"fax_number": "724-689-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNOW",
"first_name": "RONALD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-01",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP011672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.