Individual provider Active NPI

Kelly Spiers, P.A.-C

  • Physician Assistant
  • Seneca, PA
National Provider Identifier
1295750685
Registry record updated May 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052427 Issued in PA
Practice address
100 Fairfield Dr
Seneca, PA 16346-2130
Phone
(814) 676-7600
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2010

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 MA052427 PA Primary
Physician Assistant 363A00000X TMA051468 PA

Addresses

Primary practice location

100 Fairfield Dr
Seneca, PA 16346-2130

Mailing address

10559 Forest Hill Dr
Wexford, PA 15090-7389

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
I20080122000038 PA Practitioner - Physician Assistant 5496836058 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA052427PAMDPhysician Assistant
TMA051468PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 20, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 20, 2024 Accepting new patients
Emergency Medicine Physicians of Mercer County, LTD. Past Accepting new patients
Sharon Emergency Group PC Past Accepting new patients

Locations

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

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

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

Organizations & group practices 5

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274486400000",
    "number": "1295750685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10559 FOREST HILL DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRFIELD DR",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462130",
            "telephone_number": "814-676-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIERS",
        "first_name": "KELLY",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052427",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "TMA051468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.