Nicole Ilgenfritz, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP018023 Issued in PA

Practice address

1000 Higbee Dr Ste D202
Bethel Park, PA 15102-4200

Phone

(412) 833-6176

Fax

(412) 833-6421

NPI assigned

Oct 30, 2017

Last updated

Oct 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drnicoleilgenfritz@southhillsfamilymedicine.medentdirect.com

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.

• South Hills Family Medicine, LLC

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1497705784
  Medicare reassignment NPD
• South Hills Family Medicine, LLC

  • Family Medicine Physician
  • Homestead, PA
  • NPI 1447200662
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1912419029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGBEE DR STE D202",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGBEE DR STE D202",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024200",
            "telephone_number": "412-833-6176",
            "fax_number": "412-833-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILGENFRITZ",
        "first_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP018023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Taylor Hulbert
• Jeremy Carl Huwe, PHARMD
• Tara Hyder
• Patricia A Iampietro, RD, LDN
• Ideal Homecare Agency LLC
• Jason Andrew Illig, COTA/L
• Inclusive Caregiving Agency LLC
• Erin Olivia Jack, PA-C
• Bruce Michael Jacobs
• Gloria Annette James D'Alessandri, OTR, OTD

• Primary Care Nurse Practitioner in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.