Individual provider Active NPI

Elizabeth Ann Booth, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1639947419
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028911 Issued in PA
Practice address
1020 Center Ave
Pittsburgh, PA 15229-1724
Phone
(412) 931-3066
Fax
(712) 939-9965
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 SP028911 PA Primary

Addresses

Primary practice location

1020 Center Ave
Pittsburgh, PA 15229-1724

Mailing address

8150 Perry Hwy Ste 201
Pittsburgh, PA 15237-5200
Phone (724) 741-0044

Other practice location 1

9104 Babcock Blvd
Pittsburgh, PA 15237-5818
Phone (412) 366-2950

Other practice location 2

106 E Manilla Ave
Pittsburgh, PA 15220-3308
Phone (724) 840-4043

Other identifiers 2

IdentifierTypeStateIssuer
104277643-0001MedicaidPA
104277643-0002MedicaidPA

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
I20240126003896 PA Practitioner - Nurse Practitioner 8123471059 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians
Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians

Practice addresses (Care Compare)

2000 Cliffmine Rd
Suite 500
Pittsburgh, PA 15275-1053
Phone (878) 201-3312

333 Technology Dr
Suite 250
Canonsburg, PA 15317-9513
Phone (724) 271-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP028911PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ih Physician Services PC Current Accepting new patients
Caremed PA PC Family CurrentSince Jan 20, 2026 Accepting new patients
Ih Physician Services, PC CurrentSince Jun 2, 2025 Accepting new patients
Genesis Medical Associates, Inc. CurrentSince Dec 18, 2023 Accepting new patients
Ih Physician Services, PC CurrentSince Jun 2, 2025 Accepting new patients
Genesis Medical Associates, Inc. CurrentSince Dec 18, 2023 Accepting new patients

Locations

333 Technology Dr
Ste 250
Canonsburg, PA 15317
Phone (724) 271-7000

2090 Linglestown Rd
Ste 202
Harrisburg, PA 17110
Phone (717) 265-8883

750 Holiday Dr
Ste 110
Pittsburgh, PA 15220
Phone (412) 503-9842

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

9104 Babcock Blvd
Ste 3111
Pittsburgh, PA 15237
Phone (412) 364-5490

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

1020 Center Ave
West View, PA 15229
Phone (412) 931-3066

Organizations & group practices 7

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1639947419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375200",
            "telephone_number": "724-741-0044",
            "fax_number": "412-939-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CENTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291724",
            "telephone_number": "412-931-3066",
            "fax_number": "712-939-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9104 Babcock Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152375818",
            "country_code": "US",
            "telephone_number": "412-366-2950",
            "fax_number": "412-366-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 E Manilla Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152203308",
            "country_code": "US",
            "telephone_number": "724-840-4043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104277643-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104277643-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.