Individual provider Active NPI

Amanda Moeller

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1528551009
Registry record updated Aug 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
9104 Babcock Blvd
Pittsburgh, PA 15237-5818
Phone
(412) 367-5010
NPI assigned
Jun 11, 2018
Last updated
Aug 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X MA059790 PA
Surgical Physician Assistant 363AS0400X PA Primary

Addresses

Primary practice location

9104 Babcock Blvd
Pittsburgh, PA 15237-5818

Mailing address

111 Kimberwicke CT
Cranberry Township, PA 16066-4781

Other practice location 1

3 Saint Francis Way Ste 103
Cranberry Township, PA 16066-5120
Phone (412) 641-4274

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
I20180618002026 PA Practitioner - Physician Assistant 2264787167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
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)

9102 Babcock Blvd
Pittsburgh, PA 15237-5819
Phone (412) 367-8998

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 Jun 18, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 18, 2018 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

3 Saint Francis Way
Ste 103
Cranberry Twp, PA 16066
Phone (412) 641-4274

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

9104 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5020

9104 Babcock Blvd
Ste 4110
Pittsburgh, PA 15237
Phone (412) 367-5010

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: amanda.m.mauck@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1528551009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KIMBERWICKE CT",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160664781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-367-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Saint Francis Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cranberry Township",
            "state": "PA",
            "postal_code": "160665120",
            "country_code": "US",
            "telephone_number": "412-641-4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MA059790",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.