Individual provider Active NPI

Larry R Gitelman, ADVANCED RN PRACT

  • Psychiatric/Mental Health Nurse Practitioner
  • Weirton, WV
National Provider Identifier
1568438539
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN59184 Issued in WV
Practice address
310 American Way Ste a
Weirton, WV 26062-4083
Phone
(304) 797-6410
Fax
(304) 797-6320
NPI assigned
Feb 28, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP005783L PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN59184 WV Primary

Addresses

Primary practice location

310 American Way Ste a
Weirton, WV 26062-4083

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Other identifiers 1

IdentifierTypeStateIssuer
7102381000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070502000189 PA Practitioner - Nurse Practitioner 2365548708 Reassigns benefits to 5 organizations
I20110701000296 WV Practitioner - Nurse Practitioner 2365548708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians
Cognitive Medicine Practice PLLCGroup PAC ID 8527242759, 10 clinicians
Change IncorporatedGroup PAC ID 1759325327, 18 clinicians

Practice addresses (Care Compare)

155 Wilson Ave
Washington, PA 15301-3336

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

310 American Way
Suite a
Weirton, WV 26062-4083
Phone (304) 797-6518

3136 W St
Weirton, WV 26062-4637
Phone (304) 748-2828

3158 W St
Weirton, WV 26062-4637

95 Leonard Ave
Washington, PA 15301-3368

PO Box
Blacksville, WV 26521

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
VP005783LPAMDNurse Practitioner
APRN59184WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Oct 25, 2014 Accepting new patients
Mercy Life Center Corp CurrentSince Oct 13, 2006 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 13, 2014 Accepting new patients
Change, Incorporated CurrentSince Feb 1, 2014 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 13, 2014 Accepting new patients
Washington Physician Services Nurse Practitioner CurrentSince Jul 1, 2015 Accepting new patients
Upmc Community Medicine Inc CurrentSince Oct 25, 2014 Accepting new patients
Clay-Battelle Health Services Association Current Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Clay-Battelle Health Services Association CurrentSince Aug 22, 2018 Accepting new patients
Mercy Life Center Corporation Current Accepting new patients
Cognitive Medicine Practice PLLC CurrentSince Jun 1, 2011 Accepting new patients
Clay-Battelle Health Services Association CurrentSince Aug 22, 2018 Accepting new patients
Navdeep S Purewal PLLC Past Accepting new patients

Locations

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

330 S 9th St
Pittsburgh, PA 15203
Phone (877) 637-2924

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

130 Greene Plz
Waynesburg, PA 15370
Phone (304) 797-6410

310 American Way
#A
Weirton, WV 26062
Phone (304) 797-6410

3136 West St
Weirton, WV 26062
Phone (304) 748-2828

3158 West St
Weirton, WV 26062
Phone (304) 797-7733

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: larry.gitelman.1@12946.direct.athenahealth.com
  • Direct secure messaging: larry.gitelman@fmcchc.eclinicaldirectplus.com
  • Direct secure messaging: lgitelman642950@direct.wvuhsdirect.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1568438539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106",
            "fax_number": "304-242-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 AMERICAN WAY STE A",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624083",
            "telephone_number": "304-797-6410",
            "fax_number": "304-797-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITELMAN",
        "first_name": "LARRY",
        "middle_name": "R",
        "credential": "ADVANCED RN PRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP005783L",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN59184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102381000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.