Individual provider Active NPI

Jean Fitzgibbons, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1841751427
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019122 Issued in PA
Practice address
1307 Federal St Ste B201
Pittsburgh, PA 15212-4774
Phone
(412) 359-3355
Fax
(412) 359-6216
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019122 PA Primary

Addresses

Primary practice location

1307 Federal St Ste B201
Pittsburgh, PA 15212-4774

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5255
Phone (412) 330-5961

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfitzgibbons16727@direct.ahn.org

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
I20190425000970 PA Practitioner - Nurse Practitioner 4789926619 Reassigns benefits to 2 organizations

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
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Suite B201
Pittsburgh, PA 15212-4774
Phone (412) 359-3355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019122PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Feb 25, 2019 Accepting new patients
Allegheny Clinic Current Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Nov 18, 2022 Accepting new patients
Allegheny Clinic CurrentSince Feb 25, 2019 Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

125 Emeryville Dr
Ste 110
Cranberry Township, PA 16066
Phone (724) 449-3245

2315 Myrtle St
Ste 290
Erie, PA 16502
Phone (814) 454-1142

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

3063 Freeport Rd
Ste C
Natrona Heights, PA 15065
Phone (724) 226-2392

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

1307 Federal St
Ste B201
Pittsburgh, PA 15212
Phone (412) 578-1212

1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751

80 Matthew Dr
Ste 3001
Uniontown, PA 15401
Phone (724) 873-1117

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1841751427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125255",
            "telephone_number": "412-330-5961",
            "fax_number": "412-330-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE B201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124774",
            "telephone_number": "412-359-3355",
            "fax_number": "412-359-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGIBBONS",
        "first_name": "JEAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfitzgibbons16727@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St Ste B201",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.