Individual provider Active NPI

Alisha Lynne Varner, MS, PA-C

  • Physician Assistant
  • Uniontown, PA
National Provider Identifier
1205082773
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053478 Issued in PA
Practice address
204 Mary Higginson Lane
Uniontown, PA 15401-2658
Phone
(724) 438-8300
Fax
(724) 438-8340
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053478 PA Primary
Physician Assistant 363A00000X 01844 WV

Addresses

Primary practice location

204 Mary Higginson Lane
Uniontown, PA 15401-2658

Mailing address

125 N 6TH St
Clarksburg, WV 26301-2665
Phone (304) 624-7200

Other names 1

  • Alisha Lynne Bozek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131207000162 PA Practitioner - Physician Assistant 1557598067 Reassigns benefits to 1 organization
I20141029000739 WV Practitioner - Physician Assistant 1557598067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain State Medical Specialties PLLCGroup PAC ID 9335046754, 38 clinicians

Practice addresses (Care Compare)

204 Mary Higginson LN
Uniontown, PA 15401-2657
Phone (724) 438-8300

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
88.74
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MA053478PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: avarner@msms.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1205082773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 6TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012665",
            "telephone_number": "304-624-7200",
            "fax_number": "304-554-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MARY HIGGINSON LANE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012658",
            "telephone_number": "724-438-8300",
            "fax_number": "724-438-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNER",
        "first_name": "ALISHA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053478",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "BOZEK",
            "middle_name": "LYNNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.