Individual provider Active NPI

Victoria Renee Piggott, PA-C

  • Medical Physician Assistant
  • Erie, PA
National Provider Identifier
1245423920
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054918 Issued in PA
Practice address
3720 West 26TH St
Erie, PA 16506
Phone
(814) 240-3430
NPI assigned
Aug 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 OA002991 PA
Medical Physician Assistant 363AM0700X MA054918 PA Primary

Addresses

Primary practice location

3720 West 26TH St
Erie, PA 16506

Mailing address

3750 W 26TH St
Erie, PA 16506-2039
Phone (814) 240-3430

Other names 1

  • Miss Victoria Renee Brooks Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.cnsmi@direct.mihn.net Direct CNS Healthcare

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071109000580 MI Practitioner - Physician Assistant 4486742301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CNS HealthcareGroup PAC ID 8729980198, 24 clinicians

Practice addresses (Care Compare)

12800 E Warren Ave
Detroit, MI 48215-2061
Phone (313) 308-1400

24230 Karim Blvd
Suite 100
Novi, MI 48375-2960
Phone (248) 745-4900

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as group
Quality
73.88
Promoting interoperability
80
Improvement activities
40
Cost
78.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA002991PAMDPhysician Assistant
MA054918PAMDMedical Physician Assistant

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": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1245423920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062039",
            "telephone_number": "814-240-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 WEST 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16506",
            "telephone_number": "814-240-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGGOTT",
        "first_name": "VICTORIA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-25",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002991",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.cnsmi@direct.mihn.net",
            "affiliation": "Y",
            "affiliationName": "CNS Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24230 Karim Blvd",
            "address_2": "Suite 100",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483752960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "BROOKS",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.