Individual provider Active NPI

Regis Kearney

  • Psychiatric/Mental Health Nurse Practitioner
  • Wexford, PA
National Provider Identifier
1932961224
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP031057 Issued in PA
Practice address
500 Blazier Dr Ste 400
Wexford, PA 15090-9508
Phone
(724) 934-2420
NPI assigned
Jan 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031057 PA Primary

Addresses

Primary practice location

500 Blazier Dr Ste 400
Wexford, PA 15090-9508

Mailing address

500 Blazier Dr Ste 400
Wexford, PA 15090-9508
Phone (724) 934-2420

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
I20241127002320 PA Practitioner - Nurse Practitioner 3577098540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Pittsburgh School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

500 Blazier Dr
Suite 400
Wexford, PA 15090-9508
Phone (724) 934-2420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP031057PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Regional Medical Center CurrentSince Oct 11, 2024 Accepting new patients
Allegheny Clinic Psychiatric/Mental Health CurrentSince Oct 11, 2024 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Oct 11, 2024 Accepting new patients
Jefferson Regional Medical Center CurrentSince Oct 11, 2024 Accepting new patients

Locations

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

810 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 466-5004

500 Blazier Dr
Ste 400
Wexford, PA 15090
Phone (724) 934-2420

Interoperability endpoints

  • Direct secure messaging: rkearney722454@direct.ahn.org

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1932961224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 400",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "724-934-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 400",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "724-934-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "REGIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.