Individual provider Active NPI

Caitlin E Herbener, PA-C

  • Medical Physician Assistant
  • Monroeville, PA
National Provider Identifier
1609204684
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056501 Issued in PA
Practice address
2550 Mosside Blvd
Suite 208
Monroeville, PA 15146-3540
Phone
(412) 373-6666
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 MA056501 PA Primary

Addresses

Primary practice location

2550 Mosside Blvd
Suite 208
Monroeville, PA 15146-3540

Mailing address

2550 Mosside Blvd
Suite 208
Monroeville, PA 15146-3540
Phone (412) 373-6666

Other names 1

  • Caitlin E Walton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cherbener141108@direct.ahn.org

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
I20131207000295 PA Practitioner - Physician Assistant 7416184924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 359-6656

2781 Leechburg Rd
Lower Burrell, PA 15068-3138
Phone (724) 226-3345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056501PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 28, 2017 Accepting new patients
Allegheny Clinic CurrentSince Aug 28, 2017 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

2550 Mosside Blvd
Ste 208
Monroeville, PA 15146
Phone (412) 372-6120

3824 Northern Pike
Ste 525
Monroeville, PA 15146
Phone (412) 373-6666

2781 Leechburg Rd
New Kensington, PA 15068
Phone (724) 226-3345

Interoperability endpoints

  • Direct secure messaging: cherbener141108@direct.ahn.org

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1609204684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 208",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463540",
            "telephone_number": "412-373-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 208",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463540",
            "telephone_number": "412-373-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBENER",
        "first_name": "CAITLIN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cherbener141108@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2550 Mosside Blvd",
            "address_2": "Suite 208",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "WALTON",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.