Individual provider Active NPI

Stefanie Jayne Hannan, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1770925190
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013076 Issued in PA
Practice address
3459 5TH Ave
NW 628
Pittsburgh, PA 15213-3236
Phone
(412) 647-4780
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 SP013076 PA Primary

Addresses

Primary practice location

3459 5TH Ave
NW 628
Pittsburgh, PA 15213-3236

Mailing address

3459 5TH Ave
NW 628
Pittsburgh, PA 15213-3236

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stefanie.j.hannan@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
I20140116001706 PA Practitioner - Nurse Practitioner 4183852247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.81 of 100Reported as group
Quality
42.46
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
SP013076PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Oncology Hematology Association Inc CurrentSince Jan 25, 2015 Accepting new patients
Oncology Hematology Association CurrentSince Jan 25, 2015 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

4401 Penn Ave
#3
Pittsburgh, PA 15224
Phone (412) 692-7280

3459 5th Ave
#G
Pittsburgh, PA 15213
Phone (412) 648-6161

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1770925190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 5TH AVE",
            "address_2": "NW 628",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 5TH AVE",
            "address_2": "NW 628",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133236",
            "telephone_number": "412-647-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "STEFANIE",
        "middle_name": "JAYNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stefanie.j.hannan@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 Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.