Kelly Faddish
Individual provider Active NPI Registered Nurse · North Huntingdon, PA
NPI 1922646264 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1922646264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN676147 (PA)
- Practice address
- 12111 Sedona Dr
North Huntingdon, PA 15642-8777 - Phone
- (724) 972-9536
- NPI assigned
- Dec 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Pittsburgh Physicians
Practice addresses (Care Compare)
1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 232-8222
Hospital & facility affiliations
- Upmc Mercy
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.94 of 100
- Quality
- 61.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210113002693 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8921411885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN676147 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients |
Locations
1400 Locust St
Pittsburgh, PA 15219
Phone (412) 232-7911
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN676147 | PA | Yes |
Addresses
Primary practice location
12111 Sedona Dr
North Huntingdon, PA 15642-8777
Mailing address
12111 Sedona Dr
North Huntingdon, PA 15642-8777
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC |
Other providers in North Huntingdon, PA
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
- Excela Health Physician Practices, Inc.
- Excela Health Quickcare LLC
- Express Scripts Pharmacy Inc
- Eric Wayne Farabaugh
- John Michael Feher
- Sarah Fennel
- Courtney Ferek
- Stephanie Lynn Ference
All providers in North Huntingdon, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.