Individual provider Active NPI

Gwendolyn Irene Elsass, PA-C, LAT, ATC

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1013532662
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064280 Issued in PA
Practice address
3200 S Water St
Pittsburgh, PA 15203-2307
Phone
(855) 937-7678
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT006653 PA
Physician Assistant 363A00000X MA064280 PA Primary

Addresses

Primary practice location

3200 S Water St
Pittsburgh, PA 15203-2307

Mailing address

1454 Trance Dr
Pittsburgh, PA 15234-2757

Other practice location 1

433 Castle Shannon Blvd
Pittsburgh, PA 15234-1405
Phone (412) 344-9044

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
I20230227000854 PA Practitioner - Physician Assistant 2163895988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1300 Oxford Dr
Bethel Park, PA 15102-1896
Phone (412) 854-3121

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RT006653PAMDAthletic Trainer
MA064280PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Feb 13, 2023 Accepting new patients
David Physical Therapy and Sports Medicine Center Inc. CurrentSince Jun 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 13, 2023 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

3200 S Water St
Pittsburgh, PA 15203
Phone (412) 432-3600

433 Castle Shannon Blvd
Pittsburgh, PA 15234
Phone (412) 341-5464

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1013532662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 TRANCE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152342757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032307",
            "telephone_number": "855-937-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Castle Shannon Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152341405",
            "country_code": "US",
            "telephone_number": "412-344-9044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSASS",
        "first_name": "GWENDOLYN",
        "middle_name": "IRENE",
        "credential": "PA-C, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006653",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.