NPIMap

Individual provider Active NPI

Shawna Bullard

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1134185036
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA003174L Issued in PA
Practice address
9104 Babcock Blvd
Suite 4110
Pittsburgh, PA 15237-5818
Phone
(412) 367-5064
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA003174L PA Primary

Addresses

Primary practice location

9104 Babcock Blvd
Suite 4110
Pittsburgh, PA 15237-5818

Mailing address

9104 Babcock Blvd
Suite 4110
Pittsburgh, PA 15237-5818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shawna.l.bullard@upmcdirect.com UPMC

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
I20040124000087 PA Practitioner - Physician Assistant 5395647895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 12, 2009 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 12, 2009 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
West Penn Allegheny Health System, Inc. Past Accepting new patients
West Penn Allegheny Health System, Inc. Past Accepting new patients

Locations

9104 Babcock Blvd
Ste 4110
Pittsburgh, PA 15237
Phone (412) 367-5010

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: shawna.l.bullard@upmcdirect.com

Organizations & group practices 7

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1134185036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 4110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 4110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-367-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "SHAWNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA003174L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawna.l.bullard@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.