Individual provider Active NPI

Avery Degruttola

  • Nurse Practitioner
  • Monroeville, PA
National Provider Identifier
1538036926
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP034216 Issued in PA
Practice address
2626 Haymaker Rd FL 2
Monroeville, PA 15146-3516
Phone
(412) 373-4411
NPI assigned
Oct 20, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 SP034216 PA Primary

Addresses

Primary practice location

2626 Haymaker Rd FL 2
Monroeville, PA 15146-3516

Mailing address

604 Regina Dr
Elizabeth, PA 15037-1036
Phone (412) 860-5079

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
I20260105003368 PA Practitioner - Nurse Practitioner 4880180397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny Clinic Medical OncologyGroup PAC ID 9739077561, 97 clinicians

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 400
Clairton, PA 15025-3726
Phone (412) 267-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP034216PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Medical Oncology CurrentSince Nov 3, 2025 Accepting new patients

Locations

575 Coal Valley Rd
Ste 400
Jefferson Hills, PA 15025
Phone (412) 267-6500

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

Interoperability endpoints

  • Direct secure messaging: adegruttola915482@direct.ahn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1538036926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 REGINA DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150371036",
            "telephone_number": "412-860-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 HAYMAKER RD FL 2",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463516",
            "telephone_number": "412-373-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRUTTOLA",
        "first_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP034216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.