Individual provider Active NPI

Eric Michael Ross, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1629743901
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024212 Issued in PA
Practice address
501 Penn Ave Ste 2
Pittsburgh, PA 15222-3224
Phone
(412) 442-2343
Fax
(412) 325-2536
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 SP024212 PA Primary

Addresses

Primary practice location

501 Penn Ave Ste 2
Pittsburgh, PA 15222-3224

Mailing address

501 Penn Ave Ste 2
Pittsburgh, PA 15222-3224
Phone (412) 442-2343

Other practice location 1

501 Braddock Ave
Braddock, PA 15104-1856
Phone (412) 362-8677

Other identifiers 2

IdentifierTypeStateIssuer
103999500MedicaidPA
15425935OtherCAQH

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
I20220314000590 PA Practitioner - Nurse Practitioner 4183019961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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)

501 Braddock Ave
Braddock, PA 15104-1856
Phone (412) 636-5050

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
SP024212PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jan 7, 2022 Accepting new patients
Allegheny Clinic CurrentSince Jan 7, 2022 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

501 Braddock Ave
Braddock, PA 15104
Phone (412) 636-5044

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

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

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

501 Penn Ave
Ste 2
Pittsburgh, PA 15222
Phone (412) 442-2343

Interoperability endpoints

  • Direct secure messaging: eross415314@direct.ahn.org

Organizations & group practices 4

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 4

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1629743901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PENN AVE STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223224",
            "telephone_number": "412-442-2343",
            "fax_number": "412-325-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PENN AVE STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223224",
            "telephone_number": "412-442-2343",
            "fax_number": "412-325-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Braddock Ave",
            "address_purpose": "LOCATION",
            "city": "Braddock",
            "state": "PA",
            "postal_code": "151041856",
            "country_code": "US",
            "telephone_number": "412-362-8677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103999500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15425935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.