Individual provider Active NPI

Alexa Noel Mamone, PA-C

  • Medical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1376226845
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1517 Forbes Ave
Pittsburgh, PA 15219-5111
Phone
(412) 734-1100
Fax
(412) 734-5885
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1517 Forbes Ave
Pittsburgh, PA 15219-5111

Mailing address

362 Lincoln Ave
Bellevue, PA 15202-3756
Phone (412) 734-1100

Other practice location 1

362 Lincoln Ave
Bellevue, PA 15202-3756
Phone (412) 734-1100

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
I20231009001463 PA Practitioner - Physician Assistant 7911352141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pittsburgh Family Practice Assoc LLCGroup PAC ID 5991777948, 2 clinicians

Practice addresses (Care Compare)

1517 Forbes Ave
Pittsburgh, PA 15219-5111
Phone (412) 232-3555

362 Lincoln Ave
Bellevue, PA 15202-3756
Phone (412) 734-1100

Hospital & facility affiliations

  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

National Provider Directory

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

Organizations & group practices 1

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1376226845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023756",
            "telephone_number": "412-734-1100",
            "fax_number": "412-734-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 FORBES AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195111",
            "telephone_number": "412-734-1100",
            "fax_number": "412-734-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "PA",
            "postal_code": "152023756",
            "country_code": "US",
            "telephone_number": "412-734-1100",
            "fax_number": "412-734-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMONE",
        "first_name": "ALEXA",
        "middle_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.