NPIMap

Individual provider Active NPI

Nicole L Kovach, PA-C

  • Physician Assistant
  • Washington, PA
National Provider Identifier
1629200142
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053957 Issued in PA
Practice address
380 W Chestnut St Ste 101
Washington, PA 15301-4658
Phone
(724) 228-1414
Fax
(724) 228-8579
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053957 PA Primary

Addresses

Primary practice location

380 W Chestnut St Ste 101
Washington, PA 15301-4658

Mailing address

380 W Chestnut St Ste 101
Washington, PA 15301-4658
Phone (724) 228-1414

Other identifiers 1

IdentifierTypeStateIssuer
103206511MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkovach68725@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090929000321 PA Practitioner - Physician Assistant 8426104704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1001 9TH Ave
Brackenridge, PA 15014-1107
Phone (412) 359-8850

320 E N Ave
Pittsburgh, PA 15212-4756

400 Locust Ave
Washington, PA 15301-3397
Phone (724) 222-9300

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Canonsburg General Hospital Hospital, Canonsburg, PA, CCN 390160
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jun 1, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

Organizations & group practices 3

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 10

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": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1629200142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W CHESTNUT ST STE 101",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014658",
            "telephone_number": "724-228-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W CHESTNUT ST STE 101",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014658",
            "telephone_number": "724-228-1414",
            "fax_number": "724-228-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103206511",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkovach68725@direct.ahn.org",
            "affiliation": "N",
            "address_1": "380 W Chestnut St Ste 101",
            "city": "Washington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153014658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.