Individual provider Active NPI

Kelly Berus, PA-C

  • Medical Physician Assistant
  • Wexford, PA
National Provider Identifier
1457891970
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058911 Issued in PA
Practice address
6001 Stonewood Dr
Wexford, PA 15090-7380
Phone
(724) 772-2711
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 MA058911 PA Primary

Addresses

Primary practice location

6001 Stonewood Dr
Wexford, PA 15090-7380

Mailing address

901 Lynwood CT
Cranberry Township, PA 16066-6634

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
I20170815001427 PA Practitioner - Physician Assistant 0244502011 Reassigns benefits to 1 organization

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
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

100 Delafield Rd
Pittsburgh, PA 15215-3247

100 Delafield Road
108 Petz and Associates Upmc
Pittsburgh, PA 15215-3247
Phone (412) 784-7650

2 Hot Meal St
Pittsburgh, PA 15203-2348

875 N Hermitage Rd
Hermitage, PA 16148-3278

9104 Babcock Blvd
Pittsburg, PA 15237-5818

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jun 19, 2017 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jun 19, 2017 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

1300 Oxford Dr
Ste G200
Bethel Park, PA 15102
Phone (412) 851-8724

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

9104 Babcock Blvd
Ste 3112
Pittsburgh, PA 15237
Phone (412) 321-1810

6001 Stonewood Dr
Ste 300
Wexford, PA 15090
Phone (724) 772-2711

Interoperability endpoints

  • Direct secure messaging: kelly.r.stragand@upmcdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1457891970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LYNWOOD CT",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 STONEWOOD DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907380",
            "telephone_number": "724-772-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUS",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.