Individual provider Active NPI

Amanda Nicole Pristas, PA-C

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1639062417
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA066623 Issued in PA
Practice address
4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156
Phone
(724) 260-7300
NPI assigned
May 31, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 MA066623 PA
Surgical Physician Assistant 363AS0400X MA066623 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156
Phone (724) 260-7300

Other identifiers 1

IdentifierTypeStateIssuer
16511084OtherCAQH

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
I20250709002887 PA Practitioner - Physician Assistant 1658885843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
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)

1 Nolte Dr
Kittanning, PA 16201-7111

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

114 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 831-8089

118 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 469-7110

122 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 283-1133

138 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 267-6290

160 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 359-3457

320 E N Ave
Pittsburgh, PA 15212-4756

4800 Friendship Ave
Pittsburgh, PA 15224-1722

4815 Liberty Ave
Pittsburgh, PA 15224-2156

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA066623PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jun 23, 2025 Accepting new patients
Allegheny Clinic CurrentSince Jun 23, 2025 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1 Nolte Dr
Ste 110
Kittanning, PA 16201
Phone (412) 457-0040

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Interoperability endpoints

  • Direct secure messaging: apristas576032@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1639062417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 439",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "724-260-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 439",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "724-260-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISTAS",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066623",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA066623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16511084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.