Individual provider Active NPI

Rachael Rose Pauvlinch, PA-C

  • Medical Physician Assistant
  • Cranberry TWP, PA
National Provider Identifier
1184137630
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059565 Issued in PA
Practice address
213 Executive Dr Ste 200
Cranberry TWP, PA 16066-6405
Phone
(724) 741-0044
Fax
(724) 741-0040
NPI assigned
Nov 7, 2017
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059565 PA Primary

Addresses

Primary practice location

213 Executive Dr Ste 200
Cranberry TWP, PA 16066-6405

Mailing address

8150 Perry Hwy Ste 201
Pittsburgh, PA 15237-5200
Phone (412) 369-9550

Other identifiers 1

IdentifierTypeStateIssuer
1034564070001MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180130000095 PA Practitioner - Physician Assistant 6103186887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

3601 McKnight E Dr
Pittsburgh, PA 15237-6400
Phone (412) 369-9943

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059565PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince Nov 28, 2017 Accepting new patients

Locations

213 Executive Dr
Ste 200
Cranberry Twp, PA 16066
Phone (724) 741-0044

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

Organizations & group practices 1

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 1

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1184137630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375200",
            "telephone_number": "412-369-9550",
            "fax_number": "412-369-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 EXECUTIVE DR STE 200",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666405",
            "telephone_number": "724-741-0044",
            "fax_number": "724-741-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUVLINCH",
        "first_name": "RACHAEL",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034564070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

Verify at the official NPI Registry.