Individual provider Active NPI

Audrey Kreke

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1730693862
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018160 Issued in PA
Practice address
1789 S Braddock Ave Ste 395
Suite 510
Pittsburgh, PA 15218-1868
Phone
(412) 241-1111
NPI assigned
Nov 28, 2017
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 SP018160 PA Primary

Addresses

Primary practice location

1789 S Braddock Ave Ste 395
Suite 510
Pittsburgh, PA 15218-1868

Mailing address

1789 S Braddock Ave Ste 395
Suite 510
Pittsburgh, PA 15218-1868

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address audrey.vanim@upmcdirect.com UPMC

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
I20180119002447 PA Practitioner - Nurse Practitioner 1355600347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1789 S Braddock Ave
510 Gleason Medical Assoc
Pittsburgh, PA 15218-1890
Phone (412) 244-8760

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018160PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Nov 28, 2017 Accepting new patients
Neshannock Family Practice-Upmc CurrentSince Nov 28, 2017 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1789 S Braddock Ave
Ste 510
Pittsburgh, PA 15218
Phone (412) 244-8760

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

1789 S Braddock Ave
Ste 395
Swissvale, PA 15218
Phone (412) 241-1111

Interoperability endpoints

  • Direct secure messaging: audrey.vanim@upmcdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1730693862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 395",
            "address_2": "SUITE 510",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 395",
            "address_2": "SUITE 510",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181868",
            "telephone_number": "412-241-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREKE",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audrey.vanim@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": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.