Individual provider Active NPI

Shannon Rouse, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1922652460
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020574 Issued in PA
Practice address
603 Washington Rd Ste 300
Pittsburgh, PA 15228-1928
Phone
(412) 563-6151
Fax
(412) 344-3780
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 SP020574 PA Primary

Addresses

Primary practice location

603 Washington Rd Ste 300
Pittsburgh, PA 15228-1928

Mailing address

603 Washington Rd Ste 300
Mt Lebanon, PA 15228-1928
Phone (412) 563-6151

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
I20191011001563 PA Practitioner - Nurse Practitioner 0547591109 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Hospice of Washington CurrentSince Sep 1, 2019 Accepting new patients
Upmc Washington CurrentSince Sep 1, 2019 Accepting new patients
Children'S Community Care Past Accepting new patients
Childrens Community Pediatrics PastSince Mar 28, 2021 Accepting new patients
Children'S Community Care PastSince Mar 28, 2021 Accepting new patients

Locations

95 Leonard Ave
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

Interoperability endpoints

  • Direct secure messaging: shannon.n.rouse@upmcdirect.com

Organizations & group practices 5

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1922652460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WASHINGTON RD STE 300",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281928",
            "telephone_number": "412-563-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WASHINGTON RD STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281928",
            "telephone_number": "412-563-6151",
            "fax_number": "412-344-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "SHANNON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.