Individual provider Active NPI

Terri Lynn Marcischak, APRN-BC, DNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1831471424
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58777 Issued in WV
Practice address
1301 Beaver Ave.
Pittsburgh, PA 15233
Phone
(800) 863-1563
Fax
(412) 321-2234
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 58777 WV
Family Nurse Practitioner 363LF0000X 58777 WV Primary

Addresses

Primary practice location

1301 Beaver Ave.
Pittsburgh, PA 15233

Mailing address

1301 Beaver Ave.
Pittsburgh, PA 15233
Phone (800) 863-1563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111102000078 WV Practitioner - Nurse Practitioner 9537332812
I20220121000909 PA Practitioner - Nurse Practitioner 9537332812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58777WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Medical Group PA PastSince Jun 28, 2020 Accepting new patients
Addiction and Recovery Health Services PastSince Jun 6, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: terri.marcischak.1@18731.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1831471424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BEAVER AVE.",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15233",
            "telephone_number": "800-863-1563",
            "fax_number": "412-321-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BEAVER AVE.",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15233",
            "telephone_number": "800-863-1563",
            "fax_number": "412-321-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCISCHAK",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "APRN-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "58777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "58777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.