Active NPI
Nicole Elise Pacella, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Coraopolis, PA
National Provider Identifier
1669885075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP025874
- Practice address
- 104 Marshall Dr
Coraopolis, PA 15108-2704 - Phone
- (412) 888-9344
- NPI assigned
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN616173 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP025874 | PA | Primary |
Addresses
Primary practice location
104 Marshall Dr
Coraopolis, PA 15108-2704
Mailing address
104 Marshall Dr
Coraopolis, PA 15108-2704
Phone (412) 888-9344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP025874 | Other | PA | PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER |
| RN616173 | Other | PA | REGISTERED NURSE |
Other names 1
- Nicole Elise Pacella
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN616173 | PA | MD | Registered Nurse |
| SP025874 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rend Psychiatry, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Supportive Care of Pennsylvania LLC | Current | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bridgeville, PA
- NPI 1386598738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1669885075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MARSHALL DR",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151082704",
"telephone_number": "412-888-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MARSHALL DR",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151082704",
"telephone_number": "412-888-9344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACELLA",
"first_name": "NICOLE",
"middle_name": "ELISE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN616173",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP025874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER",
"identifier": "SP025874",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "RN616173",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "PACELLA",
"middle_name": "ELISE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.