Individual provider Active NPI

Angela Lynn Petrosky, PA-C

  • Medical Physician Assistant
  • Allison Park, PA
National Provider Identifier
1720246739
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053109 Issued in PA
Practice address
4490 Mount Royal Blvd Ste 3100
Allison Park, PA 15101-2685
Phone
(412) 219-0386
Fax
(412) 219-0391
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 MA053109 PA Primary

Addresses

Primary practice location

4490 Mount Royal Blvd Ste 3100
Allison Park, PA 15101-2685

Mailing address

4490 Mount Royal Blvd Ste 3100
Allison Park, PA 15101-2685
Phone (412) 219-0386

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
I20151203000143 PA Practitioner - Physician Assistant 9830499458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

3471 5TH Ave
Suite 1103
Pittsburgh, PA 15213-3232
Phone (412) 648-6848

8000 Cranberry Springs Dr
Cranberry Township, PA 16066-6687

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA053109PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Nov 9, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 9, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4490 Mount Royal Blvd
Ste 3100
Allison Park, PA 15101
Phone (412) 219-1173

3471 5th Ave
Ste 1103
Pittsburgh, PA 15213
Phone (412) 648-6848

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste B400
Pittsburgh, PA 15213
Phone (412) 647-3685

Interoperability endpoints

  • Direct secure messaging: angela.l.petrosky@upmcdirect.com

Organizations & group practices 4

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1720246739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 MOUNT ROYAL BLVD STE 3100",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012685",
            "telephone_number": "412-219-0386",
            "fax_number": "412-219-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 MOUNT ROYAL BLVD STE 3100",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012685",
            "telephone_number": "412-219-0386",
            "fax_number": "412-219-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKY",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.