Individual provider Active NPI

Tammy Fendya

  • Nurse Practitioner
  • Bentleyville, PA
National Provider Identifier
1760491484
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP007686 Issued in PA
Practice address
119 Wilson Rd
Mon Valley Hospital
Bentleyville, PA 15314-1027
Phone
(724) 489-0866
NPI assigned
Aug 5, 2006
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
Nurse Practitioner 363L00000X SP007686 PA Primary

Addresses

Primary practice location

119 Wilson Rd
Mon Valley Hospital
Bentleyville, PA 15314-1027

Mailing address

119 Wilson Rd
Mon Valley Hospital
Bentleyville, PA 15314-1027

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@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
I20040917000496 PA Practitioner - Nurse Practitioner 6800864976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (412) 432-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP007686PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Dec 1, 2017 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 22, 2022 Accepting new patients
St. Clair Medical Services Inc. CurrentSince Jul 22, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 1, 2017 Accepting new patients

Locations

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

50 Berry Rd
Washington, PA 15301
Phone (724) 222-1125

Interoperability endpoints

  • Direct secure messaging: tammy.fendya@swmc.eclinicaldirectplus.com
  • Direct secure messaging: tammy.fendya@upmcdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1760491484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WILSON RD",
            "address_2": "MON VALLEY HOSPITAL",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WILSON RD",
            "address_2": "MON VALLEY HOSPITAL",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-489-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDYA",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@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 Bentleyville, PA

Sources for this page

Verify at the official NPI Registry.