Active NPI
Kayla Wertz, PA-C
- Medical Physician Assistant
- Johnstown, PA
National Provider Identifier
1134449457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA054363
- Practice address
- 1322 Eisenhower Blvd
Johnstown, PA 15904-3307 - Phone
- (814) 266-8840
- Fax
- (814) 266-2176
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA054363 | PA | Primary |
Addresses
Primary practice location
1322 Eisenhower Blvd
Johnstown, PA 15904-3307
Mailing address
1322 Eisenhower Blvd
Johnstown, PA 15904-3307
Phone (814) 266-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA054363 | Other | PA | 123456 |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medicine Inc | Current | Accepting new patients | |
| Upmc Community Medcine Inc | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1306972724
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1134449457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 EISENHOWER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043307",
"telephone_number": "814-266-8840",
"fax_number": "814-266-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 EISENHOWER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043307",
"telephone_number": "814-266-8840",
"fax_number": "814-266-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTZ",
"first_name": "KAYLA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "123456",
"identifier": "MA054363",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.