Katrina Clacks

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP013258 Issued in PA

Practice address

550 S Negley Ave
Heartland Care Partners
Pittsburgh, PA 15232-1658

Phone

(800) 375-5495

NPI assigned

Oct 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

83.75 of 100Reported as group

Quality

70.53

Promoting interoperability

100

Improvement activities

40

Cost

75.31

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Upmc Community Medicine, Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1558976092
  Medicare reassignment NPD
• Upmc Community Medicine Inc

  • Internal Medicine Physician
  • McKeesport, PA
  • NPI 1881722155
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1669800330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 230",
            "address_2": "HCR MANORCARE MEDICAL SERVICES OF FLORIDA, LLC",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S NEGLEY AVE",
            "address_2": "HEARTLAND CARE PARTNERS",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321658",
            "telephone_number": "800-375-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLACKS",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mallory Strickland Ciuksza, M.D.
• CJ Critical Care Transportation Systems, Inc.
• CJ Medical Associates Corporation
• Chelsee Claar, PHARMD
• Danielle Jane Claassen, LPC
• Franklyn Cladis
• Cordelia Helen Claiborne X
• Hunter Steven Clair, PA-C
• Claire Santagati Vatz Ma CCC Inc
• Isabelle Clairmonte, PHARMD

• Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.