Individual provider Active NPI

Andrea Ashley Davis, CRNP

  • Family Nurse Practitioner
  • Aliquippa, PA
National Provider Identifier
1982236204
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021463 Issued in PA
Practice address
2719 Brodhead Rd Ste 190
Aliquippa, PA 15001-2793
Phone
(724) 419-9200
Fax
(724) 419-9202
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 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 SP021463 PA Primary

Addresses

Primary practice location

2719 Brodhead Rd Ste 190
Aliquippa, PA 15001-2793

Mailing address

100 Hazel LN
Sewickley, PA 15143-1249
Phone (412) 497-6816

Other names 1

  • Andrea Ashley Cabarrus Former name

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
I20201230000820 PA Practitioner - Nurse Practitioner 0749693265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

273 State Route 288
Ellwood City, PA 16117-3055
Phone (724) 773-4681

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Feb 9, 2020 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Sep 15, 2020 Accepting new patients

Locations

2719 Brodhead Rd
Ste 190
Aliquippa, PA 15001
Phone (724) 419-9200

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

273 State Route 288
Ellwood City, PA 16117
Phone (724) 758-7044

100 Hazel Ln
Sewickley, PA 15143
Phone (412) 749-6806

Interoperability endpoints

  • Direct secure messaging: andreadavis@hvhs.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1982236204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAZEL LN",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431249",
            "telephone_number": "412-497-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 BRODHEAD RD STE 190",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012793",
            "telephone_number": "724-419-9200",
            "fax_number": "724-419-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREA",
        "middle_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-10-26",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CABARRUS",
            "middle_name": "ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.