Individual provider Active NPI

Stephanie Jean Pink, NP-C

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1902241557
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP012711 Issued in PA
Practice address
9100 Babcock Blvd
6 Main Nurse Practitioner Office
Pittsburgh, PA 15237
Phone
(412) 748-3483
NPI assigned
May 8, 2013
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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 SP012711 PA Primary

Addresses

Primary practice location

9100 Babcock Blvd
6 Main Nurse Practitioner Office
Pittsburgh, PA 15237

Mailing address

9100 Babcock Blvd
6 Main Nurse Practitioner Office
Pittsburgh, PA 15237
Phone (412) 748-3483

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
I20131210000264 PA Practitioner - Nurse Practitioner 2860629235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

5700 Corporate Dr
Pittsburgh, PA 15237-5861
Phone (412) 630-2670

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince Aug 17, 2019 Accepting new patients
Genesis Medical Associates, Inc. CurrentSince Aug 17, 2019 Accepting new patients

Locations

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

5700 Corporate Dr
Pittsburgh, PA 15237
Phone (412) 358-9613

5700 Corporate Dr
Ste 700
Pittsburgh, PA 15237
Phone (412) 630-2670

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

8150 Perry Hwy
Ste 300
Pittsburgh, PA 15237
Phone (412) 369-9550

105 Burgess Dr
Zelienople, PA 16063
Phone (724) 452-3492

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 2

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1902241557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BABCOCK BLVD",
            "address_2": "6 MAIN NURSE PRACTITIONER OFFICE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-748-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BABCOCK BLVD",
            "address_2": "6 MAIN NURSE PRACTITIONER OFFICE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-748-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINK",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.