Individual provider Active NPI

Shirley Mucha, APRN, BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Pittburgh, PA
National Provider Identifier
1992977664
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN 174829-L Issued in PA
Practice address
3811 O Hara St
Erc 712
Pittburgh, PA 15213
Phone
(412) 246-5323
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN 174829-L PA Primary

Addresses

Primary practice location

3811 O Hara St
Erc 712
Pittburgh, PA 15213

Mailing address

3811 O Hara St
Erc 712
Pittburgh, PA 15213
Phone (412) 246-5323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000298 PA Practitioner - Certified Clinical Nurse Specialist (CNS) 8022285550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN 174829-LPAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Presbyterian Shadyside CurrentSince Aug 17, 1998 Accepting new patients
Upmc Presbyterian Shadyside CurrentSince Aug 17, 1998 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

200 Lothrop St
#4E
Pittsburgh, PA 15213
Phone (412) 692-4200

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1992977664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 O HARA ST",
            "address_2": "ERC 712",
            "city": "PITTBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-246-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 O HARA ST",
            "address_2": "ERC 712",
            "city": "PITTBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-246-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHA",
        "first_name": "SHIRLEY",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN 174829-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittburgh, PA

Sources for this page

Verify at the official NPI Registry.