Jamie Lynn Nussbaum, FNP-C, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015921 Issued in PA

Practice address

875 Greentree Rd
One Parkway Center
Pittsburgh, PA 15220-3508

Phone

(412) 388-8042

Fax

(412) 325-0801

NPI assigned

Dec 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Health Me, LLCGroup PAC ID 9133463490, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Impact Health Me, LLC

  • Nurse Practitioner
  • Yarmouth, ME
  • NPI 1518432574
  Medicare reassignment Care Compare group NPD
• Impact Health Wound Care PLLC

  • Family Medicine Physician
  • Augusta, ME
  • NPI 1093502742
  Medicare reassignment NPD

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1508221045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 GREENTREE ROAD",
            "address_2": "ONE PARKWAY CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15220",
            "telephone_number": "412-388-8042",
            "fax_number": "412-325-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GREENTREE RD",
            "address_2": "ONE PARKWAY CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203508",
            "telephone_number": "412-388-8042",
            "fax_number": "412-325-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "FNP-C, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN675276",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jnussbaum@lifepittsburgh.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 Greentree Rd",
            "address_2": "One Parkway Center",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152203508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nurtured Heart
• Nurtured Self Counseling, LLC
• Jay D Nuss, MSN CNS
• Sharon W. Nuss, R.N.
• Author Joseph Nussbaum, MD
• Ryan Paul Nussbaum, D.O.
• Sarah Karron Nutman
• Nutrition by Laura LLC
• Pamela Nutt
• Cynthia Brianne Nutter, PHARMD

• Family Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.

Verify at the official NPI Registry.