NPIMap

Individual provider Active NPI

Melissa Marie Hilliard, PA-C

  • Physician Assistant
  • Du Bois, PA
National Provider Identifier
1023267952
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003041 Issued in PA
Practice address
145 Hospital Ave
Suite 301
Du Bois, PA 15801-1462
Phone
(814) 375-4000
Fax
(814) 375-4011
NPI assigned
Sep 16, 2008
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053558 PA
Physician Assistant 363A00000X OA003041 PA Primary

Addresses

Primary practice location

145 Hospital Ave
Suite 301
Du Bois, PA 15801-1462

Mailing address

100 Hospital Ave
Dubois, PA 15801-1440
Phone (814) 375-6549

Other identifiers 2

IdentifierTypeStateIssuer
OA003041OtherPAPA STATE OSTEOPATHIC LICENSE
MA053558OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000031 PA Practitioner - Physician Assistant 8921166588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

271 Railroad St
Philipsburg, PA 16866-2300
Phone (814) 342-9186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Dec 28, 2015 Accepting new patients
Dubois Regional Medical Center Physician Assistant CurrentSince Dec 28, 2015 Accepting new patients
Womens Care of Western Pennsylvania LLC Past Accepting new patients
Dubois Regional Medical Center Physician Assistant Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 301
Dubois, PA 15801
Phone (814) 375-4000

145 Hospital Ave
Ste 315
Dubois, PA 15801
Phone (814) 371-6172

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

Interoperability endpoints

  • Direct secure messaging: mmhilliard@1285.direct.myezyaccess.com

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.

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1023267952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6549",
            "fax_number": "814-372-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 301",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-375-4000",
            "fax_number": "814-375-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053558",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE OSTEOPATHIC LICENSE",
            "identifier": "OA003041",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA053558",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.