Individual provider Active NPI

Peggy Sue Hutton, PA-C

  • Physician Assistant
  • Altoona, PA
National Provider Identifier
1366475204
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA003216 Issued in PA
Practice address
1414 9TH Ave
Altoona, PA 16602-2415
Phone
(814) 940-2950
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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
Physician Assistant 363A00000X OA003216 PA Primary

Addresses

Primary practice location

1414 9TH Ave
Altoona, PA 16602-2415

Mailing address

1414 9TH Ave
Altoona, PA 16602-2415
Phone (814) 940-2950

Other names 1

  • Ms. Peggy Sue Ricketts Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peggy.hutton@upmcdirect.com

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
I20091030000502 PA Practitioner - Physician Assistant 2860539459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Altoona Regional Health Services, Inc. 191 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

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA003216PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Jun 30, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

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

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

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1366475204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-940-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-940-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "PEGGY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-07-11",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggy.hutton@upmcdirect.com",
            "affiliation": "N",
            "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": "PEGGY",
            "last_name": "RICKETTS",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.