NPIMap

Individual provider Active NPI

Alexis Elizabeth Allan, PA-C

  • Physician Assistant
  • Wexford, PA
National Provider Identifier
1649729757
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058429
Practice address
12351 Perry Hwy
Wexford, PA 15090-8344
Phone
(412) 359-3030
Fax
(412) 359-3030
NPI assigned
Sep 30, 2016
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058429 Primary
Medical Physician Assistant 363AM0700X MA058429 PA

Addresses

Primary practice location

12351 Perry Hwy
Wexford, PA 15090-8344

Mailing address

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3030

Other identifiers 1

IdentifierTypeStateIssuer
030479OtherPAGROUP PTAN

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
I20170114000029 PA Practitioner - Physician Assistant 1456633064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
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)

4800 Friendship Ave
Pittsburgh, PA 15224-1722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058429PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Apr 17, 2017 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 24, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Apr 24, 2022 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2024 Accepting new patients
Upmc Community Medicine Inc CurrentSince Apr 17, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

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

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

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

4815 Liberty Ave
Ste GR30
Pittsburgh, PA 15224
Phone (412) 621-3844

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1649729757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-3030",
            "fax_number": "412-359-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-3030",
            "fax_number": "412-359-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "ALEXIS",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "MA058429",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "030479",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.