Individual provider Active NPI

Bobbi Ann McAllister, PAC

  • Physician Assistant
  • Hyndman, PA
National Provider Identifier
1679539290
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051352 Issued in PA
Practice address
144 Fifth Avenue
Hyndman, PA 15545-0706
Phone
(814) 842-3206
Fax
(814) 842-9169
NPI assigned
Apr 22, 2006
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 MA051352 PA Primary

Addresses

Primary practice location

144 Fifth Avenue
Hyndman, PA 15545-0706

Mailing address

PO Box 706
144 Fifth Avenue
Hyndman, PA 15545-0706
Phone (814) 842-3206

Other practice location 1

300 E Plank Rd
Altoona, PA 16602-4154
Phone (814) 946-3801

Other identifiers 1

IdentifierTypeStateIssuer
1007332810003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061002000542 PA Practitioner - Physician Assistant 5890790562 Reassigns benefits to 1 organization
I20250121001232 MD Practitioner - Physician Assistant 5890790562 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Maryland CurrentSince Jan 1, 2025 Accepting new patients
Medexpress Urgent Care, PC - Maryland CurrentSince Jan 1, 2025 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2012 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254

300 E Plank Rd
Altoona, PA 16602
Phone (814) 941-7708

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

1221 Scalp Ave
Johnstown, PA 15904
Phone (814) 266-1138

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: bmcallister20760@gohealthupmc.direct-ci.com

Organizations & group practices 6

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1679539290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "address_2": "144 FIFTH AVENUE",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "155450706",
            "telephone_number": "814-842-3206",
            "fax_number": "814-842-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 FIFTH AVENUE",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "155450706",
            "telephone_number": "814-842-3206",
            "fax_number": "814-842-9169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166024154",
            "country_code": "US",
            "telephone_number": "814-946-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "BOBBI",
        "middle_name": "ANN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007332810003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyndman, PA

Sources for this page

Verify at the official NPI Registry.