Kelly Jordan Spangler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1599 Somerset Ave
Windber, PA 15963-1745

Phone

(814) 467-5600

Fax

(814) 467-5605

NPI assigned

Jun 10, 2014

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Jordan Maher Former name

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112
• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kspangler@491c40b0.micromddirect.com

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.

• Gray Medical Associates

  • Clinic/Center
  • Windber, PA
  • NPI 1831296664
  Medicare reassignment
• Vantage Physical Therapy & Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Johnstown, PA
  • NPI 1487693313
  Care Compare group
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• DLP Conemaugh Memorial Medical Center LLC

  dba Conemaugh Memorial Medical Center

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  Care Compare affiliation

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1093128753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 SOMERSET AVE",
            "address_2": "STE 1",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631745",
            "telephone_number": "814-341-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631745",
            "telephone_number": "814-467-5600",
            "fax_number": "814-467-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "KELLY",
        "middle_name": "JORDAN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MAHER",
            "middle_name": "JORDAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Simko, DPT
• Kellye Simmons, LCSW
• Amanda Sliko
• Marisa Ann Smay, PA-C
• Andrew Mark Sossong, D.P.T.
• Catherine Marie Spinelli, MOT, OTR/L
• Stephen a. Antinoro, D.C.
• Mark E. Stepp, O.D.
• James Andrew Stewart, MD
• Robert J Stoffa, MD

• Medical Physician Assistant in Windber, PA
• Providers in Windber, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.