Destiny Marie Riordan, CRNP

Individual provider Active NPI Nurse Practitioner · Fairview, PA

NPI 1669066643 · NPPES record last updated Feb 22, 2021

Key facts

NPI
1669066643
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
SP023290 (PA)
Practice address
7287 W Ridge Rd
Fairview, PA 16415-1130
Phone
(814) 877-2360
Fax
(814) 474-3561
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mrs Physical Therapy (168 clinicians)
Regional Health Services Inc (572 clinicians)

Practice addresses (Care Compare)

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

7287 W Ridge Rd
Primary Care Partners
Fairview, PA 16415-1130
Phone (814) 877-2360

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital · Erie, PA · CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100 (group)
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210315000303 PA Practitioner - Nurse Practitioner 0941616148 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Current
since Feb 28, 2021
Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

7287 W Ridge Rd
Fairview, PA 16415
Phone (814) 459-9300

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: destiny.m.riordan@upmcdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP023290 PA Yes

Addresses

Primary practice location

7287 W Ridge Rd
Fairview, PA 16415-1130

Mailing address

7287 W Ridge Rd
Fairview, PA 16415-1130
Phone (814) 877-2360

Other providers in Fairview, PA

All providers in Fairview, PA · Nurse Practitioner in Pennsylvania

Sources for this page

Verify at the official NPI Registry.