Individual provider Active NPI

Kaitlyn Ferguson, PA-C

  • Medical Physician Assistant
  • Erie, PA
National Provider Identifier
1275937898
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058740 Issued in PA
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.

View all 24

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 Clinic 2,313 clinicians
Keystone Rehabilitation Systems Inc 750 clinicians

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 Hospital, Erie, PA, CCN 390009
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MA058740PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 1, 2020 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 18, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 18, 2017 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

  • Direct secure messaging: kferguson189937@direct.ahn.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058740 PA Primary

Addresses

NPPES NPI Registry

Primary 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
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.