Individual provider Active NPI

Elisabeth May Walls, PA-C

  • Physician Assistant
  • Jefferson Hills, PA
National Provider Identifier
1326565102
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060530 Issued in PA
Practice address
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone
(412) 267-6810
Fax
(412) 267-6817
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 2085 WV
Physician Assistant 363A00000X MA060530 PA Primary

Addresses

Primary practice location

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703

Mailing address

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6810

Other identifiers 2

IdentifierTypeStateIssuer
14088083OtherCAQH
103600995MedicaidPA

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
I20190722000712 PA Practitioner - Physician Assistant 5597031450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

4800 Friendship Ave
Pittsburgh, PA 15224-1722

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2085WVMDProfessional Counselor
MA060530PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince May 27, 2019 Accepting new patients
Allegheny Clinic CurrentSince Jan 10, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince May 27, 2019 Accepting new patients
Allegheny Clinic CurrentSince Jan 10, 2022 Accepting new patients

Locations

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

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

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

1307 Federal St
Ste B100
Pittsburgh, PA 15212
Phone (412) 359-4667

Interoperability endpoints

  • Direct secure messaging: ewalls447952@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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1326565102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-267-6810",
            "fax_number": "412-267-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-267-6810",
            "fax_number": "412-267-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "ELISABETH",
        "middle_name": "MAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2085",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14088083",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103600995",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.