NPIMap

Individual provider Active NPI

Christan M Servello, PA

  • Physician Assistant
  • Altoona, PA
National Provider Identifier
1316911795
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002248L Issued in PA
Practice address
501 Howard Avenue
Suite F2 Womens Health and Wellness
Altoona, PA 16601-4899
Phone
(814) 889-2012
Fax
(814) 889-7864
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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 MA002248L PA Primary

Addresses

Primary practice location

501 Howard Avenue
Suite F2 Womens Health and Wellness
Altoona, PA 16601-4899

Mailing address

501 Howard Avenue
Suite F2 Womens Health and Wellness
Altoona, PA 16601-4899
Phone (814) 889-2012

Other names 1

  • Christan M Pettenati Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001878 PA Practitioner - Physician Assistant 5698911204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Altoona Regional Health Services, Inc.Group PAC ID 5395659312, 191 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811

1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-6157

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Nason Physician Practices LLC Physician Assistant CurrentSince Jan 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 28, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 28, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

1701 12th Ave
Ste A
Altoona, PA 16601
Phone (814) 944-5062

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

501 Howard Ave
Ste F2
Altoona, PA 16601
Phone (814) 889-2020

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

Interoperability endpoints

  • Direct secure messaging: christan.m.servello@upmcdirect.com
  • Direct secure messaging: cservello227070@upmc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1316911795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVENUE",
            "address_2": "SUITE F2 WOMENS HEALTH AND WELLNESS",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014899",
            "telephone_number": "814-889-2012",
            "fax_number": "814-889-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVENUE",
            "address_2": "SUITE F2 WOMENS HEALTH AND WELLNESS",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014899",
            "telephone_number": "814-889-2012",
            "fax_number": "814-889-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVELLO",
        "first_name": "CHRISTAN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002248L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTAN",
            "last_name": "PETTENATI",
            "middle_name": "M",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.