Individual provider Active NPI

Elizabeth Ann Roberts, PA-C

  • Physician Assistant
  • Grindstone, PA
National Provider Identifier
1013467406
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058454 Issued in PA
Practice address
111 Roberts Rd Ste 200
Grindstone, PA 15442-1105
Phone
(724) 785-2286
Fax
(724) 785-3187
NPI assigned
Oct 10, 2016
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058454 PA Primary

Addresses

Primary practice location

111 Roberts Rd Ste 200
Grindstone, PA 15442-1105

Mailing address

111 Roberts Rd Ste 200
Grindstone, PA 15442-1105
Phone (724) 785-2286

Other practice location 1

860 Rostraver Rd
Rostraver Township, PA 15012-1945
Phone (724) 929-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121001512 PA Practitioner - Physician Assistant 6406135185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

1440 Morrell Ave
Connellsville, PA 15425-3809
Phone (724) 626-1347

289 McClellandtown Rd
Uniontown, PA 15401-3107
Phone (724) 439-3627

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

860 Rostraver Rd
Rostraver Township, PA 15012-1945
Phone (724) 929-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc CurrentSince Sep 26, 2016 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 12, 2016 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 12, 2016 Accepting new patients
Fayette Physician Network Inc Physician Assistant CurrentSince Sep 26, 2016 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

860 Rostraver Rd
Rostraver Township, PA 15012
Phone (724) 929-3278

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1013467406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ROBERTS RD STE 200",
            "city": "GRINDSTONE",
            "state": "PA",
            "postal_code": "154421105",
            "telephone_number": "724-785-2286",
            "fax_number": "724-785-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROBERTS RD STE 200",
            "city": "GRINDSTONE",
            "state": "PA",
            "postal_code": "154421105",
            "telephone_number": "724-785-2286",
            "fax_number": "724-785-3187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Rostraver Rd",
            "address_purpose": "LOCATION",
            "city": "Rostraver Township",
            "state": "PA",
            "postal_code": "150121945",
            "country_code": "US",
            "telephone_number": "724-929-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grindstone, PA

Sources for this page

Verify at the official NPI Registry.