Individual provider Active NPI

Maryelyn Alyssa Hunter, FNP-BC

  • Family Nurse Practitioner
  • Warriors Mark, PA
National Provider Identifier
1902492994
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN669324 Issued in PA
Practice address
1625 Taylors LN
Warriors Mark, PA 16877-6363
Phone
(814) 207-4991
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 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 RN669324 PA Primary

Addresses

Primary practice location

1625 Taylors LN
Warriors Mark, PA 16877-6363

Mailing address

1625 Taylors LN
Warriors Mark, PA 16877-6363
Phone (814) 207-4991

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
I20210506000003 PA Practitioner - Nurse Practitioner 6507275435 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qofl Services LLCGroup PAC ID 6709030133, 21 clinicians
Vital Healthcare SolutionsGroup PAC ID 3274830336, 107 clinicians
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

100 8TH St
McKeesport, PA 15132-2712
Phone (412) 664-8860

2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (585) 233-2817

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

Merit-based Incentive Payment System (MIPS)

Final score
96.88 of 100Reported as group
Quality
73.37
Promoting interoperability
100
Improvement activities
40
Cost
82.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN669324PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrone Hospital CurrentSince Oct 27, 2021 Accepting new patients
Onsight Health Care LLC Family CurrentSince May 3, 2022 Accepting new patients
Qofl Services LLC CurrentSince Nov 14, 2022 Accepting new patients
Provider Partners Care Management LP CurrentSince Dec 18, 2025 Accepting new patients
Onsight Health Care LLC Current Accepting new patients
Tyrone Hospital CurrentSince Oct 27, 2021 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

100 8th St
McKeesport, PA 15132
Phone (412) 228-4409

6445 Germantown Ave
Philadelphia, PA 19119
Phone (215) 438-5268

6212 Walnut St
Philadelphia, PA 19139
Phone (215) 476-6264

303 Smallacombe Dr
Scranton, PA 18508
Phone (412) 508-8708

951 Washington Ave
Tyrone, PA 16686
Phone (614) 686-2650

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Organizations & group practices 8

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1902492994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 TAYLORS LN",
            "city": "WARRIORS MARK",
            "state": "PA",
            "postal_code": "168776363",
            "telephone_number": "814-207-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 TAYLORS LN",
            "city": "WARRIORS MARK",
            "state": "PA",
            "postal_code": "168776363",
            "telephone_number": "814-207-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "MARYELYN",
        "middle_name": "ALYSSA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN669324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warriors Mark, PA

Sources for this page

Verify at the official NPI Registry.