Individual provider Active NPI

Carissa Ann Cetra, CRNP

  • Acute Care Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1609335371
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP020126 Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-3319
Fax
(412) 359-4136
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP020126 PA Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave FL 4
Pittsburgh, PA 15212-4756
Phone (412) 359-3319

Other practice location 1

1136 Thorn Run Rd Ste J1
Coraopolis, PA 15108-4301
Phone (412) 865-0102

Other practice location 2

4815 Liberty Ave Ste 250
Pittsburgh, PA 15224-2156
Phone (412) 359-3319

Other identifiers 1

IdentifierTypeStateIssuer
103650861MedicaidPA

Other names 1

  • Carissa Ann Vyhonsky Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccetra213050@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
I20190801000322 PA Practitioner - Nurse Practitioner 5890021695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3457

Hospital & facility affiliations

  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jun 13, 2019 Accepting new patients
Allegheny Clinic CurrentSince Jun 13, 2019 Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1136 Thorn Run Rd
Ste J1
Moon Township, PA 15108
Phone (412) 269-2304

320 E North Ave
Fl 4
Pittsburgh, PA 15212
Phone (412) 359-3319

4815 Liberty Ave
Ste 250
Pittsburgh, PA 15224
Phone (412) 578-1152

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

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1609335371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE FL 4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3319",
            "fax_number": "412-359-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3319",
            "fax_number": "412-359-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 Thorn Run Rd Ste J1",
            "address_purpose": "LOCATION",
            "city": "Coraopolis",
            "state": "PA",
            "postal_code": "151084301",
            "country_code": "US",
            "telephone_number": "412-865-0102",
            "fax_number": "412-865-0015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4815 Liberty Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152242156",
            "country_code": "US",
            "telephone_number": "412-359-3319",
            "fax_number": "412-359-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CETRA",
        "first_name": "CARISSA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP020126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103650861",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccetra213050@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "VYHONSKY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.