NPIMap

Individual provider Active NPI

Elizabeth Anne Heverly, PA-C, MPAS

  • Surgical Physician Assistant
  • Altoona, PA
National Provider Identifier
1508996828
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA052176 Issued in PA
Practice address
501 Howard Ave Ste F3
Altoona, PA 16601-4818
Phone
(814) 946-9150
Fax
(814) 946-1397
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA052176 PA Primary

Addresses

Primary practice location

501 Howard Ave Ste F3
Altoona, PA 16601-4818

Mailing address

501 Howard Ave
Ste E1
Altoona, PA 16601-4817
Phone (814) 946-9150

Other identifiers 1

IdentifierTypeStateIssuer
MA052176OtherPASTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alleghenybrainandspine.com

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
I20070913000245 PA Practitioner - Physician Assistant 5395839906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians
Allegheny Brain and Spine Surgeons PCGroup PAC ID 8123065125, 3 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

3000 Fairway Dr
Altoona, PA 16602-4472
Phone (814) 942-1166

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

501 Howard Ave
Suite E1
Altoona, PA 16601-4817
Phone (814) 946-9150

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 946-9150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics Center, LTD CurrentSince Jan 1, 2026 Accepting new patients
University Orthopedics Center, LTD CurrentSince Jan 1, 2026 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3000 Fairway Dr
Altoona, PA 16602
Phone (814) 942-1166

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

101 Regent Ct
State College, PA 16801
Phone (814) 231-1504

Interoperability endpoints

  • Direct secure messaging: elizabeth.heverly.d1.p1@direct.uoc.nextgenshare.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 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1508996828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE",
            "address_2": "STE E1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014817",
            "telephone_number": "814-946-9150",
            "fax_number": "814-946-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE F3",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014818",
            "telephone_number": "814-946-9150",
            "fax_number": "814-946-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVERLY",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MA052176",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alleghenybrainandspine.com",
            "affiliation": "N",
            "address_1": "501 Howard Ave Ste F3",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166014818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.