Active NPI
Mackenzie Ann Lavely, PA-C
- Physician Assistant
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA063613
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medicine Inc | Current | Accepting new patients | |
| Upmc Community Medcine Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Pittsburgh, PA
- NPI 1396171377
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1588622294
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1225047699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.