Individual provider Active NPI

Stephanie Christine Elliott, CRNP

  • Nurse Practitioner
  • Monroeville, PA
National Provider Identifier
1760729297
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP012654 Issued in PA
Practice address
125 Daugherty Dr
Suite 301
Monroeville, PA 15146-2749
Phone
(412) 856-2090
Fax
(412) 856-6907
NPI assigned
Jan 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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 SP012654 PA Primary

Addresses

Primary practice location

125 Daugherty Dr
Suite 301
Monroeville, PA 15146-2749

Mailing address

125 Daugherty Dr
Suite 301
Monroeville, PA 15146-2749
Phone (412) 856-2090

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
I20240328003266 PA Practitioner - Nurse Practitioner 0648568915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Pittsburgh School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Cardiovascular Medicine PCGroup PAC ID 9234110685, 6 clinicians

Practice addresses (Care Compare)

125 Daugherty Dr
Suite 301
Monroeville, PA 15146-2749
Phone (412) 856-4666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012654PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Cardiovascular Medicine, PC CurrentSince Feb 14, 2024 Accepting new patients

Locations

410 Pellis Rd
Lowr
Greensburg, PA 15601
Phone (412) 586-9700

125 Daugherty Dr
Ste 301
Monroeville, PA 15146
Phone (412) 856-2090

Interoperability endpoints

  • Direct secure messaging: sbello@specialists.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1760729297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DAUGHERTY DR",
            "address_2": "SUITE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462749",
            "telephone_number": "412-856-2090",
            "fax_number": "412-856-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DAUGHERTY DR",
            "address_2": "SUITE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462749",
            "telephone_number": "412-856-2090",
            "fax_number": "412-856-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "STEPHANIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.