Individual provider Active NPI

Paul Debes, CRNP

  • Gerontology Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1891175840
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP014961 Issued in PA
Practice address
200 Penn Ave
Pittsburgh, PA 15221-2156
Phone
(412) 242-8860
Fax
(412) 242-8863
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP014961 PA Primary

Addresses

Primary practice location

200 Penn Ave
Pittsburgh, PA 15221-2156

Mailing address

200 Penn Ave
Pittsburgh, PA 15221-2156
Phone (412) 242-8860

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
I20150910000652 PA Practitioner - Nurse Practitioner 3375669120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Outreach Wellness CenterGroup PAC ID 6507186772, 43 clinicians

Practice addresses (Care Compare)

127 Anderson St
Suite 101
Pittsburgh, PA 15212-5803
Phone (412) 322-4151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP014961PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Khan Medical Associates LLC CurrentSince Aug 21, 2015 Accepting new patients

Locations

116 Daugherty Dr
Monroeville, PA 15146
Phone (412) 242-8860

200 Penn Ave
Pittsburgh, PA 15221
Phone (412) 242-8860

Interoperability endpoints

  • Direct secure messaging: pdebes656386@direct.ochin.org

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1891175840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212156",
            "telephone_number": "412-242-8860",
            "fax_number": "412-242-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212156",
            "telephone_number": "412-242-8860",
            "fax_number": "412-242-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBES",
        "first_name": "PAUL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP014961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.