Individual provider Active NPI

Kelley M Meyer, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1811472160
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019572 Issued in PA
Practice address
1020 Center Ave
Pittsburgh, PA 15229-1724
Phone
(412) 931-3066
Fax
(412) 939-9965
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN624545 PA
Family Nurse Practitioner 363LF0000X SP019572 PA Primary

Addresses

Primary practice location

1020 Center Ave
Pittsburgh, PA 15229-1724

Mailing address

8150 Perry Hwy Ste 201
Pittsburgh, PA 15237-5200
Phone (412) 369-9550

Other identifiers 1

IdentifierTypeStateIssuer
103605786-0001MedicaidPA

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
I20190314001217 PA Practitioner - Nurse Practitioner 8224378070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

9104 Babcock Blvd
Suite 3111
Pittsburgh, PA 15237-5818
Phone (412) 366-2960

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN624545PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Genesis Medical Associates, Inc. CurrentSince Feb 1, 2019 Accepting new patients

Locations

5830 Meridian Rd
Gibsonia, PA 15044
Phone (724) 443-0700

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

8150 Perry Hwy
Ste 300
Pittsburgh, PA 15237
Phone (412) 369-9550

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

9104 Babcock Blvd
Ste 3111
Pittsburgh, PA 15237
Phone (412) 364-5490

1020 Center Ave
West View, PA 15229
Phone (412) 931-3066

Organizations & group practices 2

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 2

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1811472160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375200",
            "telephone_number": "412-369-9550",
            "fax_number": "412-369-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CENTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291724",
            "telephone_number": "412-931-3066",
            "fax_number": "412-939-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KELLEY",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN624545",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103605786-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.