Individual provider Active NPI

Gregory Shank

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1558812917
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016581 Issued in PA
Practice address
2000 Cliffmine Rd
PKW 2 Suite 110
Pittsburgh, PA 15275-1008
Phone
(412) 494-4550
Fax
(412) 494-6094
NPI assigned
Oct 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 SP016581 PA Primary

Addresses

Primary practice location

2000 Cliffmine Rd
PKW 2 Suite 110
Pittsburgh, PA 15275-1008

Mailing address

100 S Jackson Ave
Pittsburgh, PA 15202-3428
Phone (412) 734-6100

Other practice location 1

100 S Jackson Ave
Pittsburgh, PA 15202-3428
Phone (412) 734-6100

Other practice location 2

1535 Washington Rd
Pittsburgh, PA 15228-1621
Phone (412) 531-1585

Other identifiers 1

IdentifierTypeStateIssuer
103346853MedicaidPA

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
I20170112002791 PA Practitioner - Nurse Practitioner 1355623083 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

1535 Washington Rd
Upmc Gohealth Urgent Care
Pittsburgh, PA 15228-1621
Phone (412) 531-1585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016581PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince May 1, 2023 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Ahn Emergency Group of Jefferson LTD CurrentSince Aug 1, 2017 Accepting new patients
Ahn Emergency Group of West Penn LTD. CurrentSince Aug 1, 2017 Accepting new patients
Allegheny Clinic CurrentSince Oct 23, 2020 Accepting new patients
Ucmg LLC CurrentSince Jun 1, 2025 Accepting new patients
Allegheny Clinic CurrentSince Oct 23, 2020 Accepting new patients
Ahn Observation Group LLC CurrentSince Jan 1, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince May 1, 2023 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. CurrentSince Feb 25, 2020 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

1535 Washington Rd
Pittsburgh, PA 15228
Phone (412) 367-3278

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

3516 Saw Mill Run Blvd
Pittsburgh, PA 15227
Phone (412) 844-0327

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

Interoperability endpoints

  • Direct secure messaging: gshank20736@gohealthupmc.direct-ci.com

Organizations & group practices 12

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1558812917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JACKSON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023428",
            "telephone_number": "412-734-6100",
            "fax_number": "412-734-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLIFFMINE RD",
            "address_2": "PKW 2 SUITE 110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751008",
            "telephone_number": "412-494-4550",
            "fax_number": "412-494-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152023428",
            "country_code": "US",
            "telephone_number": "412-734-6100",
            "fax_number": "412-734-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152281621",
            "country_code": "US",
            "telephone_number": "412-531-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANK",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103346853",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.