MYCHAL JORDAN ROSS NPI 1245873330

NPI Information

  • NPI: 1245873330
  • Provider Name: MYCHAL JORDAN ROSS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 TECHNOLOGY DR STE 110A
    BUTLER, PA
    ZIP 16001
  • Phone: (833) 917-0873

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NPI Details

Mychal Jordan Ross is a family nurse practitioner in Butler, PA with 7 years of experience. Mychal Jordan Ross NPI is 1245873330. 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:

102 TECHNOLOGY DR STE 110A
BUTLER, PA
ZIP 16001-784
Phone: (833) 917-0873
Fax: (724) 482-0185

The NPI 1245873330 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 nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 10/22/2019 and was last updated on 1/8/2020.

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
1363LF0000XNurse PractitionerFamilySP021289PENNSYLVANIAYes

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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