Individual provider Active NPI

Mandy Lyn Claypoole, MPAS PA C

  • Physician Assistant
  • Butler, PA
National Provider Identifier
1659445666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051153 Issued in PA
Practice address
901 E Brady St
Suite 103
Butler, PA 16001
Phone
(724) 282-1627
Fax
(724) 282-4810
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA051153 PA Primary

Addresses

Primary practice location

901 E Brady St
Suite 103
Butler, PA 16001

Mailing address

901 E Brady St
Suite 103
Butler, PA 16001
Phone (724) 282-1627

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
I20040116000030 PA Practitioner - Physician Assistant 7214838945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PBS Mental Health Associates PCGroup PAC ID 8022068063, 10 clinicians

Practice addresses (Care Compare)

901 E Brady St
Suite 103
Butler, PA 16001-4649
Phone (724) 282-1627

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Jan 26, 2019 Accepting new patients
Zafar Iqbal,M.D. and Associates,Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mandy.claypoole.1@15497.direct.athenahealth.com

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, 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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659445666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "address_2": "SUITE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-282-1627",
            "fax_number": "724-282-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "address_2": "SUITE 103",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-282-1627",
            "fax_number": "724-282-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYPOOLE",
        "first_name": "MANDY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "MPAS PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.