AVERY DEGRUTTOLA - NPI 1538036926 - Nurse Practitioner in Monroeville, PA

Q: What is Avery Degruttola's NPI number?

The NPI number for Avery Degruttola is 1538036926. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Q: What is Avery Degruttola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Avery Degruttola was last updated on November 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Avery Degruttola NPPES

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

AVERY DEGRUTTOLA (NPI 1538036926) is an individual nurse practitioner in Monroeville, Pennsylvania, licensed in Pennsylvania (SP034216) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538036926

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAVERY DEGRUTTOLA

Location Address2626 HAYMAKER RD FL 2Monroeville, PA 15146-3516

Mailing Address604 Regina DrElizabeth, PA 15037-1036 · (412) 860-5079

Phone(412) 373-4411

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 20, 2025

Last NPPES UpdateNovember 4, 2025

NPPES CertifiedNovember 4, 2025

✔ NPI 1538036926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP034216

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2626 HAYMAKER RD FL 2, Monroeville, PA 15146

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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

Avery Degruttola 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 ID4880180397

PECOS Enrollment IDI20260105003368

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.

Hospital Affiliations CMS Care Compare

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

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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.

Other Providers at the Same Location NPPES 9

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

DAVID GREGORY MAYERNIK M.D.

Internal Medicine (Hematology & Oncology)