Individual provider Active NPI

Phyllis Maria Flavin, FNP-C

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1750084174
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026253 Issued in TX
Practice address
3471 5TH Ave Ste 900
Pittsburgh, PA 15213-3221
Phone
(412) 692-4400
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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 SP026253 TX Primary

Addresses

Primary practice location

3471 5TH Ave Ste 900
Pittsburgh, PA 15213-3221

Mailing address

9679 Babcock Blvd
Allison Park, PA 15101-2004
Phone (412) 443-1963

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
I20230607002954 PA Practitioner - Nurse Practitioner 7416314364 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP026253TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Apr 24, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 24, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

3471 5th Ave
Ste 900
Pittsburgh, PA 15213
Phone (412) 647-1463

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3471 5th Ave
Ste 1103
Pittsburgh, PA 15213
Phone (412) 648-6848

Interoperability endpoints

  • Direct secure messaging: phyllis.flavin@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1750084174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9679 BABCOCK BLVD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012004",
            "telephone_number": "412-443-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 5TH AVE STE 900",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133221",
            "telephone_number": "412-692-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAVIN",
        "first_name": "PHYLLIS",
        "middle_name": "MARIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "SP026253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.