Individual provider Active NPI

Tracy A Hagan, PA

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1265585954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA001523L Issued in PA
Practice address
400 Holiday Dr
Pittsburgh, PA 15220-2727
Phone
(412) 444-0098
Fax
(412) 444-0111
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA001523L PA Primary

Addresses

Primary practice location

400 Holiday Dr
Pittsburgh, PA 15220-2727

Mailing address

15 Green Oak LN
Pittsburgh, PA 15220-2017
Phone (412) 670-6389

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
I20070426000156 PA Practitioner - Physician Assistant 1850497579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians

Practice addresses (Care Compare)

201 C Erie Place
Grove City, PA 16127-1659
Phone (800) 805-6989

220 S Main St
Suite a
Butler, PA 16001-0806
Phone (800) 805-6989

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ars Treatment Centers, P.C. CurrentSince Jun 29, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 16, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 16, 2023 Accepting new patients
Upmc Multispecialty Group Inc Past Accepting new patients
Three Rivers Cardiac Institute Inc. Past Accepting new patients

Locations

220 S Main St
Ste A
Butler, PA 16001

160 W Pike St
Canonsburg, PA 15317
Phone (724) 743-1050

220 Bessemer Rd
Ste 105
Mt Pleasant, PA 15666

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

200 Lothrop St
#C800
Pittsburgh, PA 15213
Phone (412) 647-4700

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

3000 Brownsville Rd
Pittsburgh, PA 15227
Phone (412) 881-0320

3000 Brownsville Rd
Ste B
Pittsburgh, PA 15227
Phone (412) 381-4200

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

212 Wilson Ave
Washington, PA 15301
Phone (724) 223-0700

Interoperability endpoints

  • Direct secure messaging: tracy.a.hagan@upmcdirect.com

Organizations & group practices 6

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265585954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GREEN OAK LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202017",
            "telephone_number": "412-670-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOLIDAY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152202727",
            "telephone_number": "412-444-0098",
            "fax_number": "412-444-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA001523L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.