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VALERIE E COLE CRNP
NPI 1235511353
Nurse Practitioner - Family in Irwin, PA

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4044 ROUTE 130 STE 240, IRWIN, PA 15642(724) 744-2500(724) 744-3338 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2025, Jan 18, 2017, Mar 29, 2016 (3 updates tracked since 2016).

About Valerie E Cole Crnp NPPES

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

VALERIE E COLE CRNP (NPI 1235511353) is an individual family provider in Irwin, Pennsylvania, licensed in Pennsylvania (SP015041) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1235511353
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVALERIE E COLECredential: CRNP
Location Address4044 ROUTE 130 STE 240Irwin, PA 15642-7808
Mailing Address4044 Route 130Irwin, PA 15642-7808 · (724) 527-6651 · Fax (724) 527-0957
Phone(724) 744-2500
Fax(724) 744-3338
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 25, 2015
Last NPPES UpdateJune 12, 20253 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1235511353 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 · SP015041
4044 ROUTE 130 STE 240, Irwin, PA 15642
Open in Google Maps ↗

Other Identifiers 1

Medicaid103037150PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Valerie E Cole Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123334588
PECOS Enrollment IDI20150831001140
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.

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.
71 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15642 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

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%27 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%222 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%28 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%220 patients2/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 30 patients
Patients totalRate: 0% · 30 patients
0%30 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE SEIFERT
Nurse Practitioner (Family)
4044 ROUTE 130 STE 240
IRWIN, PA 15642
Westmoreland County (724) 744-2500

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 Valerie Cole's NPI number?

The NPI number for Valerie Cole is 1235511353. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Valerie Cole located?

Valerie Cole practices at 4044 Route 130 Ste 240, Irwin, PA 15642. The listed phone number is (724) 744-2500.

What is Valerie Cole's specialty?

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

Is Valerie Cole enrolled in Medicare?

Yes. Valerie Cole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Valerie Cole affiliated with any hospitals?

According to CMS data, Valerie Cole is affiliated with Allegheny General Hospital, West Penn Hospital, Excela Health Westmoreland Regional Hospital and Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Valerie Cole was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.