Individual provider Active NPI

Alexa Vincent, CRNP

  • Nurse Practitioner
  • Jefferson Hills, PA
National Provider Identifier
1497580872
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP029008 Issued in PA
Practice address
1633 Route 51 Ste 105
Jefferson Hills, PA 15025-3652
Phone
(412) 469-1500
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP029008 PA Primary

Addresses

Primary practice location

1633 Route 51 Ste 105
Jefferson Hills, PA 15025-3652

Mailing address

1785 Overlook Dr
Ambridge, PA 15003-1081
Phone (412) 616-2823

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028000110 PA Practitioner - Nurse Practitioner 0648703868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Geskin Medical LLCGroup PAC ID 4981006640, 20 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029008PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geskin Medical LLC CurrentSince Sep 17, 2024 Accepting new patients

Locations

1633 Route 51
Ste 105
Jefferson Hls, PA 15025
Phone (412) 775-2019

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1497580872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 OVERLOOK DR",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150031081",
            "telephone_number": "412-616-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 ROUTE 51 STE 105",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253652",
            "telephone_number": "412-469-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "ALEXA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.