Active NPI
Christa Cerra, DNP, CRNP- FAMILY H.
- Family Nurse Practitioner
- Blawnox, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 130346022
- Practice address
- 121 Freeport Rd
Suite 100
Blawnox, PA 15238-3411 - Phone
- (412) 781-1917
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 130346022 | PA | Primary |
Addresses
Primary practice location
121 Freeport Rd
Suite 100
Blawnox, PA 15238-3411
Mailing address
121 Freeport Rd
Suite 100
Blawnox, PA 15238-3411
Phone (412) 781-1917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130346022 | Other | PA | PA CRNP- FAMILY HEALTH LICENSE NUMBER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccerra1128419@oc.providencedirect.org | ||
| Direct Messaging Address | ccerra1128419@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5050 NE Hoyt St
Suite 454
Portland, OR 97213-2984
Phone (503) 215-6405
Hospital & facility affiliations
- Providence Home Health
- Providence Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130346022 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
6350 NE Halsey St
Portland, OR 97213
Phone (503) 215-0750
4805 NE Glisan St
Ste 2E15
Portland, OR 97213
Phone (503) 215-2669
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
Interoperability endpoints
- ccerra1128419@oc.providencedirect.org
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1740732650
-
- Nurse Practitioner
- Portalnd, OR
- NPI 1790113405
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1205924313
-
- Home Health Agency
- Portland, OR
- NPI 1790873461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1801298484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 FREEPORT RD",
"address_2": "SUITE 100",
"city": "BLAWNOX",
"state": "PA",
"postal_code": "152383411",
"telephone_number": "412-781-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 FREEPORT RD",
"address_2": "SUITE 100",
"city": "BLAWNOX",
"state": "PA",
"postal_code": "152383411",
"telephone_number": "412-781-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERRA",
"first_name": "CHRISTA",
"credential": "DNP, CRNP- FAMILY H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "130346022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA CRNP- FAMILY HEALTH LICENSE NUMBER",
"identifier": "130346022",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccerra1128419@oc.providencedirect.org",
"affiliation": "N",
"address_1": "6350 NE Halsey St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972134720",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccerra1128419@oc.providencedirect.org",
"affiliation": "N",
"address_1": "4805 NE Glisan St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blawnox, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.