Individual provider Active NPI

Kristy Desomma, FNP-C

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1861042913
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020823 Issued in PA
Practice address
107 Gamma Dr Ste 210
Pittsburgh, PA 15238-2936
Phone
(412) 963-6677
NPI assigned
Sep 19, 2019
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020823 PA Primary

Addresses

Primary practice location

107 Gamma Dr Ste 210
Pittsburgh, PA 15238-2936

Mailing address

213 Waterford Dr
MC Kees Rocks, PA 15136-1375
Phone (660) 624-9952

Other names 1

  • Kristy Zentkovich Former name

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
I20200124000547 PA Practitioner - Nurse Practitioner 2264867019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Geskin Medical LLCGroup PAC ID 4981006640, 20 clinicians

Practice addresses (Care Compare)

1633 Route 51
Suite 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-3019

1633 Route 51 103
Jefferson Hills, PA 15025-3652

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020823PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geskin Medical LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1633 Route 51
Ste 103
Jefferson Hls, PA 15025
Phone 4124691500113

1633 Route 51
Ste 105
Jefferson Hls, PA 15025
Phone (412) 775-2019

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1861042913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WATERFORD DR",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361375",
            "telephone_number": "660-624-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GAMMA DR STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382936",
            "telephone_number": "412-963-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOMMA",
        "first_name": "KRISTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "ZENTKOVICH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.