Individual provider Active NPI

Lisa Pietrusza, CRNP

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1962977066
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
SP020288 Issued in PA
Practice address
127 Anderson St
Pittsburgh, PA 15212-5803
Phone
(412) 515-0000
NPI assigned
Oct 4, 2018
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP019378 PA
Psychiatry Physician 2084P0800X SP020288 PA Primary

Addresses

Primary practice location

127 Anderson St
Pittsburgh, PA 15212-5803

Mailing address

127 Anderson St
Pittsburgh, PA 15212-5803
Phone (412) 348-8800

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
I20190326000018 PA Practitioner - Nurse Practitioner 2769722909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Outreach Wellness CenterGroup PAC ID 6507186772, 43 clinicians

Practice addresses (Care Compare)

127 Anderson St
Suite 101
Pittsburgh, PA 15212-5803
Phone (412) 322-4151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020288PAMDPsychiatry Physician
SP019378PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Squirrel Hill Health Center CurrentSince May 15, 2020 Accepting new patients
Squirrel Hill Health Center CurrentSince May 15, 2020 Accepting new patients

Locations

103 Towne Square Way
Pittsburgh, PA 15227
Phone (412) 422-7442

4516 Browns Hill Rd
Pittsburgh, PA 15217
Phone (412) 422-7442

Interoperability endpoints

  • Direct secure messaging: lpietrusza656499@direct.ochin.org

Organizations & group practices 3

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1962977066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ANDERSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125803",
            "telephone_number": "412-348-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ANDERSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125803",
            "telephone_number": "412-515-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRUSZA",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-07-19",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019378",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "SP020288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.