1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Nurse Practitioner
  6. NPI Profile

WILMA GROETHE
NPI 1215044748
Nurse Practitioner - Family in Pittsburgh, PA

Active since August 23, 2006PECOS Enrolled
93.78/100
CMS Quality Rating
ONE WALSH ROAD, PITTSBURGH, PA 15205(866) 825-3227(484) 351-3800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilma Groethe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILMA GROETHE (NPI 1215044748) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP004194B) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215044748
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWILMA GROETHE
Location AddressONE WALSH ROADPittsburgh, PA 15205
Mailing Address161 Washington Street, Eight Tower Bridge, Suite 1400Conshohocken, PA 19428 · (484) 351-3200 · Fax (484) 351-3800
Phone(866) 825-3227
Fax(484) 351-3800
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215044748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP004194B
ONE WALSH ROAD, Pittsburgh, PA 15205
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS59091PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilma Groethe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
25 services12 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
16 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilma Groethe's NPI number?

The NPI number for Wilma Groethe is 1215044748. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Wilma Groethe located?

Wilma Groethe practices at One Walsh Road, Pittsburgh, PA 15205. The listed phone number is (866) 825-3227.

What is Wilma Groethe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wilma Groethe enrolled in Medicare?

Yes. Wilma Groethe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wilma Groethe was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.