Individual provider Active NPI

Mackenzie Ann Lavely, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1619610805
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063613 Issued in PA
Practice address
810 Clairton Blvd Ste 400
Pittsburgh, PA 15236-5511
Phone
(412) 650-1150
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X MA063613 PA Primary

Addresses

Primary practice location

810 Clairton Blvd Ste 400
Pittsburgh, PA 15236-5511

Mailing address

810 Clairton Blvd Ste 400
Pittsburgh, PA 15236-5511
Phone (412) 650-1150

Other practice location 1

9104 Babcock Blvd Ste 6000
Pittsburgh, PA 15237-5818
Phone (412) 358-9613

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
I20220914000028 PA Practitioner - Physician Assistant 9335524263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
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)

300 Market St
1601B
Pittsburgh, PA 15222-1606
Phone (412) 641-8651

3285 Babcock Blvd
Pittsburgh, PA 15237-2829
Phone (412) 318-0075

339 6TH Ave
Suite 5
Pittsburgh, PA 15222-2518
Phone (412) 560-8762

4725 McKnight Rd
Suite 123
Pittsburgh, PA 15237-3414
Phone (412) 367-1188

5700 Corporate Drive
410 McCandless Corporate Center Building 11
Pittsburgh, PA 15237-5861
Phone (412) 358-9613

9104 Babcock Blvd
Pittsburg, PA 15237-5818

9104 Babcock Blvd
Suite 6104
Pittsburgh, PA 15237-5866
Phone (412) 366-5454

9104 Babcock Blvd
Suite 6111
Pittsburgh, PA 15237-5870
Phone (412) 366-6841

9104 Babcock BVLD
Suite 6111
Pittsburgh, PA 15237
Phone (412) 369-3591

9576 Perry Hwy 103
Pittsburgh, PA 15237-5537
Phone (412) 847-0927

Hospital & facility affiliations

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 Medicine Inc CurrentSince May 15, 2023 Accepting new patients
Upmc Community Medcine Inc CurrentSince May 15, 2023 Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

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

9104 Babcock Blvd
Ste 6000
Pittsburgh, PA 15237
Phone (412) 358-9613

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

Interoperability endpoints

  • Direct secure messaging: mackenzie.lavely@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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1619610805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 400",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365511",
            "telephone_number": "412-650-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 400",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365511",
            "telephone_number": "412-650-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9104 Babcock Blvd Ste 6000",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152375818",
            "country_code": "US",
            "telephone_number": "412-358-9613",
            "fax_number": "412-358-9619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVELY",
        "first_name": "MACKENZIE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.