KELLY M. DISTELRATH FNP
NPI 1477151280
Nurse Practitioner - Family in Pittsburgh, PA

Q: What is Kelly Distelrath's NPI number?

The NPI number for Kelly Distelrath is 1477151280. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Q: What is Kelly Distelrath's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Distelrath was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 14, 2020PECOS EnrolledAccepts Medicare Assignment

3601 MCKNIGHT EAST DR, PITTSBURGH, PA 15237(412) 369-9943(412) 369-9447 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 9, 2023, Oct 14, 2020 (2 updates tracked since 2020).

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About Kelly M. Distelrath Fnp NPPES

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

KELLY M. DISTELRATH FNP (NPI 1477151280) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP022823) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477151280

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY M. DISTELRATHCredential: FNP

Location Address3601 MCKNIGHT EAST DRPittsburgh, PA 15237-6400

Mailing Address8150 Perry Hwy Ste 201Pittsburgh, PA 15237-5200 · (724) 741-0044 · Fax (412) 369-9566

Phone(412) 369-9943

Fax(412) 369-9447

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 14, 2020

Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2024

✔ NPI 1477151280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP022823

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0027728 (OH)

3601 MCKNIGHT EAST DR, Pittsburgh, PA 15237

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Other Identifiers 1

Medicaid103876840-0001PA

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

Kelly M. Distelrath Fnp 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 ID6204242944

PECOS Enrollment IDI20210304001213

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 5

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.

60 services45 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

26 services23 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

12 services12 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

PRASHAN THIAGARAJAH MD

Internal Medicine