MATTHEW THOMAS LAVELLE CRNP NPI 1043678436

NPI Information

  • NPI: 1043678436
  • Provider Name: MATTHEW THOMAS LAVELLE, CRNP
  • Classification: Clinical Nurse Specialist - 364SG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4815 LIBERTY AVE STE GR10
    PITTSBURGH, PA
    ZIP 15224
  • Phone: (412) 235-5874

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NPI Details

Matthew Thomas Lavelle, CRNP is a gerontology clinical nurse specialist in Pittsburgh, PA with 11 years of experience. Matthew Thomas Lavelle, CRNP NPI is 1043678436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4815 LIBERTY AVE STE GR10
PITTSBURGH, PA
ZIP 15224-156
Phone: (412) 235-5874
Fax: (412) 235-5877

The NPI 1043678436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 2/1/2016 and was last updated on 3/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareSPO15635PENNSYLVANIANo
2364SA2200XClinical Nurse SpecialistAdult HealthSPO15635PENNSYLVANIANo
3364SG0600XClinical Nurse SpecialistGerontologySPO15635PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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