Individual provider Active NPI

Nikki L Antoszewski, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1649555350
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055228 Issued in PA
Practice address
1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone
(412) 942-4000
NPI assigned
Oct 13, 2011
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 MA055228 PA Primary

Addresses

Primary practice location

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

Mailing address

1000 Bower Hill Road
St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other practice location 1

9100 Babcock Blvd
UPMC Passavant Hospital
Pittsburgh, PA 15237
Phone (412) 367-6700

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pamalyn.patnesky@stclair.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
I20111101000234 PA Practitioner - Physician Assistant 6901079334 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Oct 20, 2017 Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 20, 2017 Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 1, 2018 Accepting new patients
Health Futures Inc Past Accepting new patients

Locations

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

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

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

9100 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5589

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

Interoperability endpoints

  • Direct secure messaging: nantoszewski26800@upmc.direct-ci.com
  • Direct secure messaging: nikki.antoszewski@upmcdirect.com

Organizations & group practices 7

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1649555350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Babcock Blvd",
            "address_2": "UPMC Passavant Hospital",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15237",
            "country_code": "US",
            "telephone_number": "412-367-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTOSZEWSKI",
        "first_name": "NIKKI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pamalyn.patnesky@stclair.org",
            "affiliation": "N",
            "address_1": "1000 Bower Hill Rd",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.