Active NPI
Heather Marie Mann, PA-C
- Physician Assistant
- Morgantown, WV
National Provider Identifier
1609140367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2645
- Practice address
- 1 Medical Center Dr
Morgantown, WV 26506-1200 - Phone
- (855) 988-2273
- NPI assigned
- Feb 28, 2012
- Last updated
- May 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2645 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Morgantown, WV 26506-1200
Mailing address
143 Top of the Rock Dr
Morgantown, WV 26508-1281
Phone (814) 659-7811
Other names 1
- Heather Marie Ambrisco
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashley.owens3@wvumedicine.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Health and Education Building | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Interoperability endpoints
- heathermannpa@direct.msj.org
- hmann369598@direct.wvuhsdirect.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.
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Diagnostic Radiology Physician
- Asheville, NC
- NPI 1164474094
-
- Student Health Clinic/Center
- Morgantown, WV
- NPI 1174803027
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684022400000",
"number": "1609140367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 TOP OF THE ROCK DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081281",
"telephone_number": "814-659-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200",
"telephone_number": "855-988-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2023-05-14",
"certification_date": "2023-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "2645",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashley.owens3@wvumedicine.org",
"affiliation": "N",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "AMBRISCO",
"middle_name": "MARIE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.