STEPHANIE MARIE PATALSKY CRNP
NPI 1568060713
Nurse Practitioner - Family in Pittsburgh, PA

Active since October 10, 2020PECOS Enrolled
77.5/100
CMS Quality Rating
611 DUNCAN AVE, PITTSBURGH, PA 15237(412) 358-8690 Get Directions Write a Review

NPPES record last updated: October 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephanie Marie Patalsky Crnp NPPES

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

STEPHANIE MARIE PATALSKY CRNP (NPI 1568060713) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP022529) 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

NPI1568060713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE MARIE PATALSKYCredential: CRNP
Location Address611 DUNCAN AVEPittsburgh, PA 15237-5854
Mailing Address306 Fiesta DrPittsburgh, PA 15239-2602 · (412) 841-0967
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 10, 2020
NPPES CertifiedOctober 10, 2020
✔ NPI 1568060713 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 · SP022529
611 DUNCAN AVE, Pittsburgh, PA 15237

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Marie Patalsky Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193138204
PECOS Enrollment IDI20210111001310
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Stephanie Patalsky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
ARCADIA CTR, 9401 MCKNIGHT ROAD, SUITE 107
Pittsburgh, PA 15237
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Multi-Specialty
104 DELAWARE AVE STE 244
Uniontown, PA 15401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Ars Treatment Centers PC
  • 140 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 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.

Areas of Expertise CMS Part B claims 2

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.
22 services17 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.
15 services15 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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Nurse Practitioner (Family)
611 DUNCAN AVE
PITTSBURGH, PA 15237
Nurse Practitioner (Family)
611 DUNCAN AVE
PITTSBURGH, PA 15237
Nurse Practitioner (Family)
611 DUNCAN AVE
PITTSBURGH, PA 15237
Pharmacist
611 DUNCAN AVE
PITTSBURGH, PA 15237
Nurse Practitioner (Family)
611 DUNCAN AVE
PITTSBURGH, PA 15237
Nurse Practitioner (Family)
611 DUNCAN AVE
PITTSBURGH, PA 15237
Pharmacist
611 DUNCAN AVE
PITTSBURGH, PA 15237
Pharmacist
611 DUNCAN AVE
PITTSBURGH, PA 15237

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 Stephanie Patalsky's NPI number?

The NPI number for Stephanie Patalsky is 1568060713. It was assigned to this individual provider in the NPPES registry on October 10, 2020.

Where is Stephanie Patalsky located?

Stephanie Patalsky practices at 611 Duncan Ave, Pittsburgh, PA 15237. The listed phone number is (412) 358-8690.

What is Stephanie Patalsky's specialty?

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

Is Stephanie Patalsky enrolled in Medicare?

Yes. Stephanie Patalsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Patalsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Patalsky reassigns Medicare benefits to 3 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Ars Treatment Centers, P.C. (Uniontown, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Stephanie Patalsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Patalsky accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stephanie Patalsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Patalsky was last updated on October 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.