Individual provider Active NPI

Jaclyn Guarino, CRNP

  • Family Nurse Practitioner
  • MC Murray, PA
National Provider Identifier
1659637130
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011756 Issued in PA
Practice address
160 Gallery Dr Ste 300
MC Murray, PA 15317-2690
Phone
(724) 941-7144
Fax
(724) 941-7625
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 SP011756 PA Primary

Addresses

Primary practice location

160 Gallery Dr Ste 300
MC Murray, PA 15317-2690

Mailing address

160 Gallery Dr Ste 300
MC Murray, PA 15317-2690
Phone (724) 941-7144

Other identifiers 1

IdentifierTypeStateIssuer
102753640MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jguarino133531@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
I20120606000406 PA Practitioner - Nurse Practitioner 7810151784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

114 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 831-8089

118 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 469-7110

122 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 283-1133

138 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 267-6290

160 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 359-3457

2580 Haymaker Rd
Monroeville, PA 15146-3500

320 E N Ave
Pittsburgh, PA 15212-4756

Hospital & facility affiliations

  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

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 CurrentSince May 10, 2017 Accepting new patients
Allegheny Clinic CurrentSince May 10, 2017 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

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

160 Gallery Dr
Ste 300
McMurray, PA 15317
Phone (724) 941-7144

160 Gallery Dr
McMurray, PA 15317
Phone (724) 260-7200

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

Interoperability endpoints

  • Direct secure messaging: jguarino133531@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 7

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1659637130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GALLERY DR STE 300",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GALLERY DR STE 300",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARINO",
        "first_name": "JACLYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102753640",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jguarino133531@direct.ahn.org",
            "affiliation": "N",
            "address_1": "160 Gallery Dr Ste 300",
            "city": "Mc Murray",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153172690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

Verify at the official NPI Registry.