NPIMap

Individual provider Active NPI

Rachael Fly Pingree, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1073890802
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055323 Issued in PA
Practice address
300 Halket St
Suite 1750
Pittsburgh, PA 15213-3108
Phone
(412) 641-5411
Fax
(412) 641-5410
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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 MA055323 PA Primary

Addresses

Primary practice location

300 Halket St
Suite 1750
Pittsburgh, PA 15213-3108

Mailing address

200 Lothrop St
Forbes Tower Room 9055
Pittsburgh, PA 15213-2536
Phone (412) 802-8271

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
I20111220000494 PA Practitioner - Physician Assistant 3072789197 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127

51 N 39TH Street 1St FL Cupp
Abramson Cancer PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-9801

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055323PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Association CurrentSince Jan 25, 2016 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 1, 2017 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 11, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 11, 2019 Accepting new patients
Hematology Oncology Association CurrentSince May 31, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
Fl 3
Philadelphia, PA 19104

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

300 Halket St
Ste 1750
Pittsburgh, PA 15213
Phone (412) 641-5411

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1073890802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "FORBES TOWER ROOM 9055",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-802-8271",
            "fax_number": "412-647-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "address_2": "SUITE 1750",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-5411",
            "fax_number": "412-641-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLY PINGREE",
        "first_name": "RACHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.