Individual provider Active NPI

Kelly Primrose Cameron, PA

  • Physician Assistant
  • Sewickley, PA
National Provider Identifier
1306988191
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052955 Issued in PA
Practice address
301 Ohio River Blvd Ste 301
Sewickley, PA 15143-1300
Phone
(412) 741-6530
Fax
(412) 741-9274
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052955 PA Primary

Addresses

Primary practice location

301 Ohio River Blvd Ste 301
Sewickley, PA 15143-1300

Mailing address

301 Ohio River Blvd Ste 301
Sewickley, PA 15143-1300
Phone (412) 741-6530

Other practice location 1

1000 Waterdam Plaza Dr
Suite 240
Mc Murray, PA 15317-5427
Phone (724) 969-0380

Other names 1

  • Kelly Marie Primrose Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelly.cameron@upmcdirect.com UPMC

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
I20170301000958 PA Practitioner - Physician Assistant 5294019709 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA052955PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Dec 19, 2016 Accepting new patients
Allegheny Clinic CurrentSince Jul 10, 2023 Accepting new patients
Allegheny Clinic CurrentSince Jul 10, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 19, 2016 Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1000 Waterdam Plaza Dr
Ste 240
McMurray, PA 15317
Phone (724) 941-2018

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

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

301 Ohio River Blvd
Ste 301
Sewickley, PA 15143
Phone (412) 741-6530

Interoperability endpoints

  • Direct secure messaging: kcameron728799@direct.ahn.org

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1306988191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD STE 301",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-741-6530",
            "fax_number": "412-741-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD STE 301",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-741-6530",
            "fax_number": "412-741-9274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Waterdam Plaza Dr",
            "address_2": "SUITE 240",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153175427",
            "country_code": "US",
            "telephone_number": "724-969-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "KELLY",
        "middle_name": "PRIMROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.cameron@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PRIMROSE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.