NPIMap

Individual provider Active NPI

Victoria Lynn Spahn, PA-C

  • Physician Assistant
  • Wexford, PA
National Provider Identifier
1336761709
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061515 Issued in PA
Practice address
500 Blazier Dr Ste 200
Wexford, PA 15090-9508
Phone
(412) 359-8900
Fax
(412) 359-8977
NPI assigned
May 8, 2020
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 MA061515 PA Primary

Addresses

Primary practice location

500 Blazier Dr Ste 200
Wexford, PA 15090-9508

Mailing address

500 Blazier Dr Ste 200
Wexford, PA 15090-9508
Phone (412) 359-8900

Other identifiers 2

IdentifierTypeStateIssuer
14656183OtherCAQH
103781738MedicaidPA

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
I20200522001562 PA Practitioner - Physician Assistant 5395166656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Suite B100
Pittsburgh, PA 15212-4761
Phone (412) 359-8900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Apr 3, 2023 Accepting new patients
Allegheny Clnic CurrentSince Apr 3, 2023 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1307 Federal St
Ste 301
Pittsburgh, PA 15212
Phone (412) 359-3751

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

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

500 Blazier Dr
Ste 200
Wexford, PA 15090
Phone (412) 359-3319

Interoperability endpoints

  • Direct secure messaging: vspadoni611504@direct.ahn.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1336761709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "412-359-8900",
            "fax_number": "412-359-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BLAZIER DR STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909508",
            "telephone_number": "412-359-8900",
            "fax_number": "412-359-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAHN",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14656183",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103781738",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.