Individual provider Active NPI

Jessica A Spagnolo, CRNP

  • Nurse Practitioner
  • Wexford, PA
National Provider Identifier
1851579833
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP009562 Issued in PA
Practice address
11240 Perry Highway Route 19
Wexford, PA 15090
Phone
(412) 935-7890
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP009562 PA Primary
Family Nurse Practitioner 363LF0000X SP009562 PA

Addresses

Primary practice location

11240 Perry Highway Route 19
Wexford, PA 15090

Mailing address

1628 Augusta Drive
Pittsburgh, PA 15237
Phone (412) 215-4402

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
I20080215000253 PA Practitioner - Nurse Practitioner 6901989888 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbe Senior Medical Group of Pennsylvania PC CurrentSince May 14, 2023 Accepting new patients
Allegheny Clinic CurrentSince Oct 2, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 4, 2018 Accepting new patients
Allegheny Clinic Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Allegheny Clinic CurrentSince Oct 2, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 4, 2018 Accepting new patients

Locations

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

5200 Centre Ave
Ste 603
Pittsburgh, PA 15232
Phone (412) 235-1140

Interoperability endpoints

  • Direct secure messaging: crnpstrachan@chp.medentdirect.com

Organizations & group practices 7

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1851579833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 AUGUSTA DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-215-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 PERRY HIGHWAY ROUTE 19",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "412-935-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLO",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009562",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.