Individual provider Active NPI

Alyssa Lane, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeville, PA
National Provider Identifier
1952186538
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027880 Issued in PA
Practice address
100 Emerson LN Ste 1507
Bridgeville, PA 15017-3484
Phone
(412) 506-0334
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 SP027880 PA Primary

Addresses

Primary practice location

100 Emerson LN Ste 1507
Bridgeville, PA 15017-3484

Mailing address

66 Laclede St
Pittsburgh, PA 15211-2138
Phone (412) 506-0334

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
I20231130002677 PA Practitioner - Nurse Practitioner 9830547868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Spine Specialists of Maryland LLCGroup PAC ID 2668628124, 32 clinicians

Practice addresses (Care Compare)

100 Emerson LN
Suite 1507
Bridgeville, PA 15017-3484
Phone (412) 564-0787

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Specialists of Maryland, LLC Psychiatric/Mental Health CurrentSince Oct 18, 2023 Accepting new patients

Locations

2702 Back Acre Cir
Ste 290B
Mount Airy, MD 21771
Phone (301) 760-3317

100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

Interoperability endpoints

  • Direct secure messaging: alyssa.lane.1@11878.direct.athenahealth.com
  • Direct secure messaging: alyssa.lane.2@11878.direct.athenahealth.com
  • Direct secure messaging: alyssa.lane.3@11878.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1952186538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LACLEDE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152112138",
            "telephone_number": "412-506-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMERSON LN STE 1507",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173484",
            "telephone_number": "412-506-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ALYSSA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.