Individual provider Active NPI

Alyson Rose Shuty, PAC

  • Medical Physician Assistant
  • Altoona, PA
National Provider Identifier
1760036941
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060677 Issued in PA
Practice address
810 Valley View Blvd
Altoona, PA 16602-6342
Phone
(814) 946-5469
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 MA060677 PA Primary

Addresses

Primary practice location

810 Valley View Blvd
Altoona, PA 16602-6342

Mailing address

403 S Julian St Apt 2
Ebensburg, PA 15931-1918
Phone (814) 505-4889

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alyson.vinglish@irmc.cernerdirect.com Direct

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
I20190829003898 PA Practitioner - Physician Assistant 2769710607 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA060677PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midatlantic Endoscopy LLC Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Oct 1, 2023 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Sep 3, 2019 Accepting new patients
Irmc Urgicare at Indiana CurrentSince Sep 3, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

120 Irmc Dr
Ste 100
Indiana, PA 15701
Phone (724) 427-2260

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

Interoperability endpoints

  • Direct secure messaging: alyson.vinglish@irmc.cernerdirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1760036941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S JULIAN ST APT 2",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311918",
            "telephone_number": "814-505-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026342",
            "telephone_number": "814-946-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTY",
        "first_name": "ALYSON",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alyson.vinglish@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 Irmc Dr Ste 100",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.