Individual provider Active NPI

Fan Ny, CNP

  • Gerontology Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1629414974
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.14685 Issued in OH
Practice address
5150 Centre Ave Ste 301
Pittsburgh, PA 15232-1309
Phone
(878) 261-6344
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN 379647 OH
Gerontology Nurse Practitioner 363LG0600X SP033806 PA
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.14685 OH Primary
Adult Health Nurse Practitioner 363LA2200X SP033806 PA

Addresses

Primary practice location

5150 Centre Ave Ste 301
Pittsburgh, PA 15232-1309

Mailing address

5150 Centre Ave Ste 301
Pittsburgh, PA 15232-1309
Phone (878) 261-6344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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
I20140325001332 OH Practitioner - Nurse Practitioner 2062643695 Reassigns benefits to 3 organizations
I20260527004386 PA Practitioner - Nurse Practitioner 2062643695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

3130 Highland Ave
Cincinnati, OH 45219-2399
Phone (513) 584-4503

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 379647OHMDAdult Health Nurse Practitioner
SP033806PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince May 31, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2021 Accepting new patients
Central Ohio Urology Group, LLC CurrentSince Dec 18, 2019 Accepting new patients
Central Ohio Urology Group, LLC CurrentSince Dec 18, 2019 Accepting new patients
University of Cincinnati Medical Center, LLC Adult Health Current Accepting new patients
University Surgical-Dental Associates, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

3151 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 584-3494

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

500 Thomas Ln
Ste 2E
Columbus, OH 43214
Phone (614) 566-9777

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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 2

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1629414974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CENTRE AVE STE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321309",
            "telephone_number": "878-261-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CENTRE AVE STE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321309",
            "telephone_number": "878-261-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NY",
        "first_name": "FAN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN 379647",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP033806",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.14685",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP033806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.