Individual provider Active NPI

Kathleen A Mehall, PA-C

  • Medical Physician Assistant
  • Johnstown, PA
National Provider Identifier
1689802415
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053868 Issued in PA
Practice address
241 Schoolhouse Rd Ste 201
Johnstown, PA 15904-3239
Phone
(814) 288-2669
Fax
(814) 288-2667
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA053868 PA Primary

Addresses

Primary practice location

241 Schoolhouse Rd Ste 201
Johnstown, PA 15904-3239

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KM4384@forefrontdermatology.emadirect.md

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
I20091214000021 PA Practitioner - Physician Assistant 6305986951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

180 Fort Couch Rd
Suite 200
Pittsburgh, PA 15241-1046
Phone (412) 595-0430

241 Schoolhouse Rd
Suite 201
Johnstown, PA 15904-3239
Phone (814) 288-2669

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jun 1, 2018 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jun 1, 2018 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

241 Schoolhouse Rd
Ste 201
Johnstown, PA 15904
Phone (814) 266-5650

913 Menoher Blvd
Johnstown, PA 15905
Phone (814) 266-5484

180 Fort Couch Rd
Ste 200
Pittsburgh, PA 15241
Phone (412) 595-0430

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: km4384@forefrontdermatology.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1689802415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SCHOOLHOUSE RD STE 201",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043239",
            "telephone_number": "814-288-2669",
            "fax_number": "814-288-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHALL",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KM4384@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "241 Schoolhouse Rd Ste 201",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159043239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.