MARYSA MCCONNELL MSN CPNP-AC PMHNP-BC
NPI 1528673084
Nurse Practitioner - Pediatrics, Critical Care in Pittsburgh, PA
About Marysa Mcconnell Msn Cpnp-ac Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYSA MCCONNELL MSN CPNP-AC PMHNP-BC (NPI 1528673084) is an individual pediatrics, critical care provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP022046) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bridgeville.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marysa Mcconnell Msn Cpnp-ac Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marysa Mcconnell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bridgeville, PA 15017
- Reassigned Medicare billing, Pennsylvania enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Marysa Mcconnell's NPI number?
The NPI number for Marysa Mcconnell is 1528673084. It was assigned to this individual provider in the NPPES registry on September 11, 2020.
Where is Marysa Mcconnell located?
Marysa Mcconnell practices at 240 Mount Lebanon Blvd, Pittsburgh, PA 15234. The listed phone number is (412) 561-7541.
What is Marysa Mcconnell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Marysa Mcconnell enrolled in Medicare?
Yes. Marysa Mcconnell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marysa Mcconnell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marysa Mcconnell reassigns Medicare benefits to Peace Of Mind Psychiatry LLC (Bridgeville, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marysa Mcconnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marysa Mcconnell was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Marysa Mcconnell, MSN CPNP-AC PMHNP-BC · NPI 1528673084
Pediatrics, Critical Care physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 11, 2020.
## Identity
- **NPI:** 1528673084 (Entity type: Individual)
- **Enumerated:** September 11, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** SP022046 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 MOUNT LEBANON BLVD, Pittsburgh, PA 15234-1243
- **Phone:** (412) 561-7541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peace Of Mind Psychiatry LLC (NPI 1093390965, Bridgeville, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1528673084) · Data from the CMS NPPES public registry.