Individual provider Active NPI

Larissa Nicole Bistarkey

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
National Provider Identifier
1891330569
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
130257 Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-6581
Fax
(412) 359-3483
NPI assigned
Nov 17, 2019
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 130257 PA Primary
Critical Care Medicine Registered Nurse 163WC0200X RN641619 PA

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-6581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lbistarkey157981@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615000080 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355763731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1500 5TH Ave
McKeesport, PA 15132-2422
Phone (412) 664-2000

275 Clairton Blvd
West Mifflin, PA 15236-1426
Phone (412) 650-2375

2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
130257PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Apr 1, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Mar 21, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 1, 2022 Accepting new patients
East Pittsburgh Anesthesia LLC CurrentSince Jan 1, 2023 Accepting new patients
Allegheny Clinic CurrentSince Mar 21, 2020 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

463 Brush Run Rd
Greensburg, PA 15601
Phone (724) 691-0354

463 Brush Run Rd
#100
Greensburg, PA 15601
Phone (724) 691-0354

495 E Waterfront Dr
Ste 110
Homestead, PA 15120
Phone (412) 325-2174

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Fl 2
Pittsburgh, PA 15212
Phone (412) 359-3751

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Interoperability endpoints

  • Direct secure messaging: lbistarkey157981@direct.ahn.org

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

Hospital & facility affiliations 5

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": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1891330569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-6581",
            "fax_number": "412-359-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-6581",
            "fax_number": "412-359-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISTARKEY",
        "first_name": "LARISSA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "130257",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PA",
            "license": "RN641619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbistarkey157981@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.