Individual provider Active NPI

Kristy Mitchell, DNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1780084905
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013047 Issued in PA
Practice address
105 Braunlich Dr Ste 102
Pittsburgh, PA 15237-3348
Phone
(412) 369-7720
Fax
(412) 369-7751
NPI assigned
Aug 25, 2014
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 SP013047 PA Primary

Addresses

Primary practice location

105 Braunlich Dr Ste 102
Pittsburgh, PA 15237-3348

Mailing address

105 Braunlich Dr Ste 102
Pittsburgh, PA 15237-3348
Phone (412) 369-7720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristy.l.carlisle@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
I20150716002462 PA Practitioner - Nurse Practitioner 3870806060 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013047PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2020 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2020 Accepting new patients
Caring Hands Pediatrics PC PastSince Oct 20, 2024 Accepting new patients

Locations

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDFJAA
  • Direct secure messaging: kristy.l.carlisle@upmcdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1780084905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRAUNLICH DR STE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373348",
            "telephone_number": "412-369-7720",
            "fax_number": "412-369-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRAUNLICH DR STE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373348",
            "telephone_number": "412-369-7720",
            "fax_number": "412-369-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KRISTY",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristy.l.carlisle@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.