Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mychal Jordan Ross

Individual provider Family Nurse Practitioner · NPI 1245873330

Mychal Jordan Ross is a Nurse Practitioner in Butler, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Genesis Medical Associates, Inc, a 98-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
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Practice location Address checks out

102 Technology Dr Ste 110A
Butler, PA 16001-1784
Phone: (833) 917-0873
Fax: (724) 482-0185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 480 E Jefferson St, Butler, PA 16001-4780 — (724) 282-1530

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP021289 (PA)

Record details

NPI number1245873330
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 22, 2019
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020
Mailing address837 McKinley St, Harwick, PA 15049-8927

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Genesis Medical Associates, Inc. — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Butler