Individual provider Active NPI

Michael J Pirotta, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Plum, PA
National Provider Identifier
1487914800
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012060 Issued in PA
Practice address
824 Pierson Run Rd
Plum, PA 15239-2228
Phone
(724) 327-7220
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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 SP012060 PA Primary

Addresses

Primary practice location

824 Pierson Run Rd
Plum, PA 15239-2228

Mailing address

824 Pierson Run Rd
Plum, PA 15239-2228
Phone (724) 327-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012060PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Qofl Services LLC CurrentSince Apr 28, 2017 Accepting new patients

Locations

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

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.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1487914800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 PIERSON RUN RD",
            "city": "PLUM",
            "state": "PA",
            "postal_code": "152392228",
            "telephone_number": "724-327-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 PIERSON RUN RD",
            "city": "PLUM",
            "state": "PA",
            "postal_code": "152392228",
            "telephone_number": "724-327-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIROTTA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plum, PA

Sources for this page

Verify at the official NPI Registry.