Individual provider Active NPI

Kyle Ritchie Bahnsen, DNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1548744279
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018974 Issued in PA
Practice address
5426 Mifflin Rd
Pittsburgh, PA 15207-2350
Phone
(412) 462-1800
Fax
(412) 462-5006
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 SP018974 PA Primary

Addresses

Primary practice location

5426 Mifflin Rd
Pittsburgh, PA 15207-2350

Mailing address

5426 Mifflin Rd
Pittsburgh, PA 15207-2350
Phone (412) 462-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbahnsen177488@direct.ahn.org

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
I20181213003232 PA Practitioner - Nurse Practitioner 9830434125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018974PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group 3 Inc CurrentSince Oct 21, 2018 Accepting new patients

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1548744279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 MIFFLIN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152072350",
            "telephone_number": "412-462-1800",
            "fax_number": "412-462-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 MIFFLIN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152072350",
            "telephone_number": "412-462-1800",
            "fax_number": "412-462-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNSEN",
        "first_name": "KYLE",
        "middle_name": "RITCHIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbahnsen177488@direct.ahn.org",
            "affiliation": "N",
            "address_1": "5426 Mifflin Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152072350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.