Individual provider Active NPI

Alyssa M Shaffer, CRNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1750825170
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016848 Issued in PA
Practice address
228 Park Ave S Ste 16389
New York, NY 10003-0103
Phone
(646) 876-8455
NPI assigned
Dec 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1176255 TX
Family Nurse Practitioner 363LF0000X TPAN2660 FL
Family Nurse Practitioner 363LF0000X 0024194742 VA
Family Nurse Practitioner 363LF0000X 30190 SC
Family Nurse Practitioner 363LF0000X 95034563 CA
Family Nurse Practitioner 363LF0000X 355551 NY
Family Nurse Practitioner 363LF0000X NP500125551 DC
Family Nurse Practitioner 363LF0000X SP016848 PA Primary
Family Nurse Practitioner 363LF0000X RN10016547 MA
Family Nurse Practitioner 363LF0000X APRN.CNP.0034853 OH
Family Nurse Practitioner 363LF0000X 277005018 IL
Family Nurse Practitioner 363LF0000X TLHT112611 WV
Nurse Practitioner 363L00000X R263663 MD
Family Nurse Practitioner 363LF0000X 4010009 KY
Family Nurse Practitioner 363LF0000X AP61479277 WA

Addresses

Primary practice location

228 Park Ave S Ste 16389
New York, NY 10003-0103

Mailing address

228 Park Ave S Ste 16389
New York, NY 10003-0103
Phone (646) 876-8455

Other identifiers 2

IdentifierTypeStateIssuer
14040584OtherCAQH
103425124MedicaidPA

Other names 1

  • Alyssa M Culp Former name

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
I20170504002089 PA Practitioner - Nurse Practitioner 5496032237 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R263663MDMDNurse Practitioner
95034563CAMDFamily Nurse Practitioner
NP500125551DCMDFamily Nurse Practitioner
TPAN2660FLMDFamily Nurse Practitioner
277005018ILMDFamily Nurse Practitioner
4010009KYMDFamily Nurse Practitioner
RN10016547MAMDFamily Nurse Practitioner
355551NYMDFamily Nurse Practitioner
APRN.CNP.0034853OHMDFamily Nurse Practitioner
30190SCMDFamily Nurse Practitioner
1176255TXMDFamily Nurse Practitioner
0024194742VAMDFamily Nurse Practitioner
AP61479277WAMDFamily Nurse Practitioner
TLHT112611WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Oct 11, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 7, 2017 Accepting new patients
Allegheny Clinic CurrentSince Oct 11, 2019 Accepting new patients
Oshi Health Medical Group, P.a. CurrentSince Mar 25, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 7, 2017 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

5235 N Front St
Harrisburg, PA 17110
Phone (973) 566-1826

4815 Liberty Ave
Ste M56
Pittsburgh, PA 15224
Phone (412) 621-3844

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

1307 Federal St
Ste B100
Pittsburgh, PA 15212
Phone (412) 359-4667

200 Lothrop St
#C
Pittsburgh, PA 15213
Phone (412) 648-7893

1307 Federal St
Ste 301
Pittsburgh, PA 15212
Phone (412) 359-3751

4815 Liberty Ave
Ste 250
Pittsburgh, PA 15224
Phone (412) 578-1152

500 Blazier Dr
Wexford, PA 15090
Phone (412) 578-1152

1821 Logan Ave
Cheyenne, WY 82001

Interoperability endpoints

  • Direct secure messaging: alyssa.shaffer.1@22307.direct.athenahealth.com

Organizations & group practices 7

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1750825170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S STE 16389",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100030103",
            "telephone_number": "646-876-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S STE 16389",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100030103",
            "telephone_number": "646-876-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1176255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN2660",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194742",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30190",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034563",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500125551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016848",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10016547",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277005018",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "TLHT112611",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R263663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4010009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61479277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14040584",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103425124",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "CULP",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.