Active NPI
Elizabeth Rachel Headlee, CRNP
- Nurse Practitioner
- Monroeville, PA
National Provider Identifier
1437989548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP030114
- Practice address
- 2490 Mosside Blvd
Monroeville, PA 15146-4236 - Phone
- (412) 525-7692
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP030114 | PA | Primary |
Addresses
Primary practice location
2490 Mosside Blvd
Monroeville, PA 15146-4236
Mailing address
2490 Mosside Blvd
Monroeville, PA 15146-4236
Phone (412) 525-7692
Other names 1
- Elizabeth Rachel Smith
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2490 Mosside Blvd
Monroeville, PA 15146-4236
Phone (412) 525-7692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisk Orthopaedics and Wellness, PC | Current | Accepting new patients |
Locations
2490 Mosside Blvd
Monroeville, PA 15146
Phone (412) 372-2035
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.
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- Monroeville, PA
- NPI 1306354311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1437989548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 MOSSIDE BLVD",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151464236",
"telephone_number": "412-525-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 MOSSIDE BLVD",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151464236",
"telephone_number": "412-525-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADLEE",
"first_name": "ELIZABETH",
"middle_name": "RACHEL",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP030114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SMITH",
"middle_name": "RACHEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.