Individual provider Active NPI

Marie C Moreau, CRNP

  • Family Nurse Practitioner
  • Gibsonia, PA
National Provider Identifier
1629050786
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007878 Issued in PA
Practice address
4447 Gibsonia Rd
Gibsonia, PA 15044-7998
Phone
(724) 443-3220
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 SP007878 PA Primary

Addresses

Primary practice location

4447 Gibsonia Rd
Gibsonia, PA 15044-7998

Mailing address

218 Gabriel Dr
Mars, PA 16046-0904
Phone (724) 996-0531

Other practice location 1

130 Critchlow School Rd
Renfrew, PA 16053-9437
Phone (724) 481-1284 ext. 5312

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
I20061016000078 PA Practitioner - Nurse Practitioner 1557367547 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince May 4, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince May 4, 2015 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Pyramid Healthcare Inc PastSince Nov 3, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

9104 Babcock Blvd
Ste 2120
Pittsburgh, PA 15237
Phone (412) 367-0600

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1629050786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 GABRIEL DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160460904",
            "telephone_number": "724-996-0531",
            "fax_number": "724-481-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 GIBSONIA RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150447998",
            "telephone_number": "724-443-3220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Critchlow School Rd",
            "address_purpose": "LOCATION",
            "city": "Renfrew",
            "state": "PA",
            "postal_code": "160539437",
            "country_code": "US",
            "telephone_number": "724-481-1284 x5312",
            "fax_number": "724-481-1067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "MARIE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.