Active NPI
Kaitlyn Ferguson, PA-C
- Medical Physician Assistant
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA058740
- Practice address
- 2315 Myrtle St Ste L90
Erie, PA 16502-4607 - Phone
- (814) 452-7575
- NPI assigned
- Oct 9, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
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.
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- Rehabilitation Clinic/Center
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- Rehabilitation Clinic/Center
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- Physical Therapy Clinic/Center
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- Physical Therapy Clinic/Center
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- Physical Therapy Clinic/Center
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- Physical Therapy Clinic/Center
- Macungie, PA
- NPI 1205386547
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allegheny ClinicKeystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
2315 Myrtle St
Erie, PA 16502-4602
5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816
701 Broad St
Suite 431
Sewickley, PA 15143-1652
Phone (412) 741-0966
Hospital & facility affiliations
- Saint Vincent Hospital
- Meadville Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170511002367 | PA | Practitioner - Physician Assistant | 7719209691 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA058740 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients |
Locations
2315 Myrtle St
Ste L90
Erie, PA 16502
Phone (814) 452-7575
145 W 23rd St
Ste 302A
Erie, PA 16502
Phone (814) 835-3751
3471 5th Ave
Ste 810
Pittsburgh, PA 15213
Phone (412) 692-4607
701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966
Interoperability endpoints
- kferguson189937@direct.ahn.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA058740 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2315 Myrtle St Ste L90
Erie, PA 16502-4607
Mailing address
2315 Myrtle St Ste L90
Erie, PA 16502-4607
Phone (814) 452-7575
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kferguson189937@direct.ahn.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2020.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1275937898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 MYRTLE ST STE L90",
"city": "ERIE",
"state": "PA",
"postal_code": "165024607",
"telephone_number": "814-452-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 MYRTLE ST STE L90",
"city": "ERIE",
"state": "PA",
"postal_code": "165024607",
"telephone_number": "814-452-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "KAITLYN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA058740",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kferguson189937@direct.ahn.org",
"affiliation": "N",
"address_1": "2315 Myrtle St Ste L90",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165024607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.