Individual provider Active NPI

Melissa K Keyser, PA-C

  • Medical Physician Assistant
  • Wintersville, OH
National Provider Identifier
1699972356
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053803 Issued in PA
Practice address
148 Main St
Wintersville, OH 43953-3734
Phone
(740) 346-2702
Fax
(740) 346-2645
NPI assigned
Jun 27, 2007
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.002383RX OH
Medical Physician Assistant 363AM0700X MA053803 PA Primary

Addresses

Primary practice location

148 Main St
Wintersville, OH 43953-3734

Mailing address

124 Home Depot Dr Ste D
Franklin, PA 16323-8002
Phone (814) 677-2262

Other practice location 1

124 Home Depot Dr Ste D
Franklin, PA 16323-8002
Phone (814) 677-2262

Other practice location 2

15655 State Route 170 Ste B
East Liverpool, OH 43920-9672
Phone (330) 932-0909

Other identifiers 1

IdentifierTypeStateIssuer
0102803MedicaidOH

Other names 1

  • Melissa K Radaker Former name

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
I20091023000451 PA Practitioner - Physician Assistant 6305994880 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.002383RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Dec 27, 2021 Accepting new patients
Upmc Community Medcine Inc CurrentSince Dec 27, 2021 Accepting new patients
Hope Pediatrics PC Past Accepting new patients
Upmc Community Medicine Inc PastSince Jan 2, 2022 Accepting new patients
Children's Community Care Past Accepting new patients
Upmc St. Margaret Past Accepting new patients

Locations

1800 Franklin St
Toronto, OH 43964
Phone (740) 537-1544

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

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

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

3512 State Route 257
Ste 108
Seneca, PA 16346
Phone (814) 677-2262

Interoperability endpoints

  • Direct secure messaging: melissa.k.keyser@upmcdirect.com
  • Direct secure messaging: mfinsley137040@upmc.direct-ci.com

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, 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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1699972356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HOME DEPOT DR STE D",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163238002",
            "telephone_number": "814-677-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533734",
            "telephone_number": "740-346-2702",
            "fax_number": "740-346-2645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Home Depot Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "PA",
            "postal_code": "163238002",
            "country_code": "US",
            "telephone_number": "814-677-2262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15655 State Route 170 Ste B",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209672",
            "country_code": "US",
            "telephone_number": "330-932-0909",
            "fax_number": "330-932-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002383RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RADAKER",
            "middle_name": "K",
            "credential": "MPAS, PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wintersville, OH

Sources for this page

Verify at the official NPI Registry.