Individual provider Active NPI

Alysa Lynn Petrik, NP

  • Family Nurse Practitioner
  • Bellevue, PA
National Provider Identifier
1447911326
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024888 Issued in PA
Practice address
355 Lincoln Ave
Bellevue, PA 15202-3755
Phone
(412) 761-3000
NPI assigned
Jan 4, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 SP024888 PA Primary

Addresses

Primary practice location

355 Lincoln Ave
Bellevue, PA 15202-3755

Mailing address

355 Lincoln Ave
Bellevue, PA 15202-3755
Phone (412) 761-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220325000798 PA Practitioner - Nurse Practitioner 2466847645 Reassigns benefits to 5 organizations
I20240916003749 OH Practitioner - Nurse Practitioner 2466847645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Cleveland Surgical Associates, Inc.Group PAC ID 3577566371, 26 clinicians
Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians
Ohio Wound Care Associates LLCGroup PAC ID 7719393032, 17 clinicians
Geskin Medical LLCGroup PAC ID 4981006640, 20 clinicians
Encore Clinical Services - PA LLCGroup PAC ID 0345695268, 7 clinicians

Practice addresses (Care Compare)

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (440) 652-8748

1633 Route 51
Suite 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-3019

200 Rittenhouse Circle E Building
Suite 4
Bristol, PA 19007-1623
Phone (267) 225-1295

Merit-based Incentive Payment System (MIPS)

Final score
83.44 of 100Reported as group
Quality
78.68
Improvement activities
40
Cost
83.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024888PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Feb 14, 2022 Accepting new patients
Encore Clinical Services LLC Family CurrentSince Nov 11, 2024 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Dec 30, 2022 Accepting new patients
Upmc Community Medicine Inc CurrentSince Feb 14, 2022 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Ohio Wound Care Associates LLC CurrentSince Jan 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Lake Effect Health Current Accepting new patients
Cleveland Surgical Associates, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Encore Clinical Services - PA LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

246 Friendship Cir
Beaver, PA 15009
Phone (724) 728-4320

355 Lincoln Ave
Bellevue, PA 15202
Phone (412) 761-3000

200 Rittenhouse Cir
Ste 4
Bristol, PA 19007
Phone (267) 225-1295

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

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

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

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

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1447911326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023755",
            "telephone_number": "412-761-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023755",
            "telephone_number": "412-761-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIK",
        "first_name": "ALYSA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, PA

Sources for this page

Verify at the official NPI Registry.