Individual provider Active NPI

Marie C. Engberg, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1750547253
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009889 Issued in PA
Practice address
901-B West Street
Metro Family Practice, Inc.
Pittsburgh, PA 15221
Phone
(412) 247-2310
Fax
(412) 247-2373
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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 SP009889 PA Primary

Addresses

Primary practice location

901-B West Street
Metro Family Practice, Inc.
Pittsburgh, PA 15221

Mailing address

901-B West Street
Metro Family Practice, Inc.
Pittsburgh, PA 15221
Phone (412) 247-2310

Other identifiers 1

IdentifierTypeStateIssuer
SP009889OtherPALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP009889PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Life Center Corp CurrentSince Jan 8, 2018 Accepting new patients
Mercy Life Center Corporation CurrentSince Jan 8, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Washington Physician Services Past Accepting new patients

Locations

1200 Reedsdale St
Pittsburgh, PA 15233
Phone (412) 323-4543

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1750547253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901-B WEST STREET",
            "address_2": "METRO FAMILY PRACTICE, INC.",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15221",
            "telephone_number": "412-247-2310",
            "fax_number": "412-247-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901-B WEST STREET",
            "address_2": "METRO FAMILY PRACTICE, INC.",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15221",
            "telephone_number": "412-247-2310",
            "fax_number": "412-247-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGBERG",
        "first_name": "MARIE",
        "middle_name": "C.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SP009889",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.