Individual provider Active NPI

Mikayla Rae Psenick, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1376144998
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061973 Issued in PA
Practice address
5200 Centre Ave Ste 415
Pittsburgh, PA 15232-1311
Phone
(412) 802-4100
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 MA061973 PA Primary

Addresses

Primary practice location

5200 Centre Ave Ste 415
Pittsburgh, PA 15232-1311

Mailing address

206 Northglen CT
Gibsonia, PA 15044-8051
Phone (724) 591-3583

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mikayla.psenick@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
I20210715001511 PA Practitioner - Physician Assistant 4981006707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

5200 Centre Ave
Suite 604
Pittsburgh, PA 15232-1311
Phone (412) 623-5888

5230 Centre Ave
Pittsburgh, PA 15232-1304

600 Oxford Dr
Suite 210
Monroeville, PA 15146-2355
Phone (412) 692-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Feb 6, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 6, 2023 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

Interoperability endpoints

  • Direct secure messaging: mikayla.psenick@upmcdirect.com

Organizations & group practices 5

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 5

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1376144998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NORTHGLEN CT",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448051",
            "telephone_number": "724-591-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE STE 415",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321311",
            "telephone_number": "412-802-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSENICK",
        "first_name": "MIKAYLA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2023-02-08",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mikayla.psenick@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.