NPIMap

Individual provider Active NPI

Andrea Curstin Feliciano, PA-C

  • Physician Assistant
  • Punxsutawney, PA
National Provider Identifier
1730857772
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062737 Issued in PA
Practice address
21871 US-119
Punxsutawney, PA 15767
Phone
(814) 371-2200
NPI assigned
Sep 3, 2021
Last updated
Oct 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005758 PA
Physician Assistant 363A00000X MA062737 PA Primary

Addresses

Primary practice location

21871 US-119
Punxsutawney, PA 15767

Mailing address

429 E Main St Apt a
Reynoldsville, PA 15851-1293
Phone (814) 316-1537

Other practice location 1

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

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
I20220104003022 PA Practitioner - Physician Assistant 3678964491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Suite 315
Du Bois, PA 15801-1465
Phone (814) 503-4305

21911 Route 119
Punxsutawney, PA 15767-7922
Phone (814) 938-2062

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Physician Assistant CurrentSince Jun 29, 2022 Accepting new patients
Dubois Regional Medical Center Physician Assistant CurrentSince Dec 22, 2021 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 22, 2021 Accepting new patients
Brookville Hospital Physician Assistant CurrentSince Jun 29, 2022 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

Interoperability endpoints

  • Direct secure messaging: acfeliciano@1285.direct.myezyaccess.com

Organizations & group practices 5

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1730857772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E MAIN ST APT A",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158511293",
            "telephone_number": "814-316-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21871 US-119",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "15767",
            "telephone_number": "814-371-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011440",
            "country_code": "US",
            "telephone_number": "814-371-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "ANDREA",
        "middle_name": "CURSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005758",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.