Individual provider Active NPI

Kayla Guntrum, CRNP

  • Family Nurse Practitioner
  • Wexford, PA
National Provider Identifier
1760993570
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017864 Issued in PA
Practice address
5500 Brooktree Rd Ste 201
Wexford, PA 15090-9260
Phone
(724) 933-1420
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 SP017864 PA Primary

Addresses

Primary practice location

5500 Brooktree Rd Ste 201
Wexford, PA 15090-9260

Mailing address

5500 Brooktree Rd Ste 201
Wexford, PA 15090-9260
Phone (247) 933-1420

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
I20180209001462 PA Practitioner - Nurse Practitioner 3870853948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

300 Halket St
Pittsburgh, PA 15213-3108

3285 Babcock Blvd
Pittsburgh, PA 15237-2829
Phone (412) 318-0075

5500 Brooktree Rd
Suite 201
Wexford, PA 15090-9260
Phone (724) 933-1420

875 N Hermitage Rd
Hermitage, PA 16148-3278

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017864PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Dec 1, 2012 Accepting new patients
Upmc Community Medicine Inc CurrentSince Dec 1, 2012 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 10, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 10, 2017 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

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

3471 5th Ave
Ste 916
Pittsburgh, PA 15213
Phone (412) 647-1170

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

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

5500 Brooktree Rd
Ste 201
Wexford, PA 15090
Phone (724) 933-1420

Interoperability endpoints

  • Direct secure messaging: kayla.j.guntrum@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1760993570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD STE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "247-933-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD STE 201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "724-933-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTRUM",
        "first_name": "KAYLA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.