NPIMap

Organization Active NPI

Upmc Advanced Practice Providers

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1457769176
Registry record updated Nov 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
UPMC ADVANCED PRACTICE PROVIDERS
Practice address
200 Lothrop St
Forbes Tower, Suite 10055-B
Pittsburgh, PA 15213-2536
Phone
(412) 864-0594
Fax
(412) 647-3222
NPI assigned
Jul 25, 2014
Last updated
Nov 8, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC COMMUNITY PROVIDER SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah S Brodine
Title
President
Phone
(412) 647-0548

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

200 Lothrop St
Forbes Tower, Suite 10055-B
Pittsburgh, PA 15213-2536

Mailing address

200 Lothrop St
Forbes Tower, Suite 10055-B
Pittsburgh, PA 15213-2536
Phone (412) 864-0594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141103001512 PA Part B Supplier - Clinic/Group Practice 4082836283 Receives reassigned benefits from 72 practitioners
1 other NPI on this enrollment
Practice locations: Pittsburgh, PA; Sewickley, PA; Trafford, PA; Verona, PA; Wexford, PA; White Oak, PA; Delmont, PA; Allison Park, PA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Upmc Advanced Practice Providers2 organizations share this tax ID, including this one
Part of
Upmc Community Provider Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

300 Halket St
Ste 800
Pittsburgh, PA 15213
Phone (412) 641-1194

3600 Forbes Ave
Ste 10072
Pittsburgh, PA 15213
Phone (412) 630-9750

3601 5th Ave
Ste 700
Pittsburgh, PA 15213
Phone (412) 643-6401

4415 5th Ave
Pittsburgh, PA 15213

4415 5th Ave
Ste 160
Pittsburgh, PA 15213

9104 Babcock Blvd
Ste 6000
Pittsburgh, PA 15237
Phone (412) 358-9613

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 131

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446940800000",
    "number": "1457769176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "FORBES TOWER, SUITE 10055-B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-864-0594",
            "fax_number": "412-647-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "FORBES TOWER, SUITE 10055-B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-864-0594",
            "fax_number": "412-647-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC ADVANCED PRACTICE PROVIDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC COMMUNITY PROVIDER SERVICES",
        "enumeration_date": "2014-07-25",
        "last_updated": "2015-11-08",
        "status": "A",
        "authorized_official_last_name": "BRODINE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-647-0548"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.