NPIMap

Individual provider Active NPI

Regina Nefjodova

  • Physician Assistant
  • Monongahela, PA
National Provider Identifier
1669095949
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1163 Country Club Rd
Monongahela, PA 15063-1013
Phone
(724) 258-1841
Fax
(724) 258-1686
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 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 Primary

Addresses

Primary practice location

1163 Country Club Rd
Monongahela, PA 15063-1013

Mailing address

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1841

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
I20201014000182 PA Practitioner - Physician Assistant 2567882517 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mon Vale Clinical Professionals IncGroup PAC ID 4385941012, 29 clinicians
Ahn Hospitalist Group LTDGroup PAC ID 1153543251, 69 clinicians
Ahn Observation Group, LLCGroup PAC ID 1557753811, 28 clinicians

Practice addresses (Care Compare)

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1000

2501 Freeport Rd
Pittsburgh, PA 15238-1409
Phone (412) 550-5550

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 858-2321

3290 Saw Mill Run Blvd
Pittsburgh, PA 15227-2318
Phone (412) 359-3252

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 469-5800

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7121

8950 Duncan Ave
Pittsburgh, PA 15237-5803
Phone (412) 359-3252

Hospital & facility affiliations

  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Ahn Emerus Westmoreland, LLC Hospital, Greensburg, PA, CCN 390333
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Penn Highlands Connellsville Hospital, Connellsville, PA, CCN 390184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mon Vale Clinical Professionals, Inc. CurrentSince Oct 19, 2020 Accepting new patients
Highlands Hospital and Health Center CurrentSince Aug 16, 2023 Accepting new patients
Highlands Hospital and Health Center Physician Assistant CurrentSince Aug 16, 2023 Accepting new patients
Mon-Vale Radiation Oncology, Inc. Past Accepting new patients
Mon-Vale Primary Care, Inc. Physician Assistant Past Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

800 Plaza Dr
Ste 230
Rostraver Township, PA 15012

Organizations & group practices 8

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 12

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1669095949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631013",
            "telephone_number": "724-258-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631013",
            "telephone_number": "724-258-1841",
            "fax_number": "724-258-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEFJODOVA",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.