Individual provider Active NPI

Holly Linn Gongaware, CRNP

  • Nurse Practitioner
  • Gibsonia, PA
National Provider Identifier
1982245965
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020835 Issued in PA
Practice address
5318 Ranalli Dr
Gibsonia, PA 15044-9653
Phone
(724) 449-9355
Fax
(724) 449-2727
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020835 PA Primary

Addresses

Primary practice location

5318 Ranalli Dr
Gibsonia, PA 15044-9653

Mailing address

5318 Ranalli Dr
Gibsonia, PA 15044-9653
Phone (724) 449-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020835PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2021 Accepting new patients

Locations

5318 Ranalli Dr
Gibsonia, PA 15044
Phone (724) 449-9355

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

11360 Perry Hwy
Wexford, PA 15090
Phone (724) 935-9900

Interoperability endpoints

  • Direct secure messaging: holly.gongaware@upmcdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1982245965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 RANALLI DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449653",
            "telephone_number": "724-449-9355",
            "fax_number": "724-449-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 RANALLI DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449653",
            "telephone_number": "724-449-9355",
            "fax_number": "724-449-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONGAWARE",
        "first_name": "HOLLY",
        "middle_name": "LINN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.