NPIMap

Individual provider Active NPI

Nicole Julia Underwood, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1760997423
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059625 Issued in PA
Practice address
1307 Federal St
Suite B201
Pittsburgh, PA 15212-4774
Phone
(412) 359-3355
Fax
(412) 359-6216
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059625 PA Primary

Addresses

Primary practice location

1307 Federal St
Suite B201
Pittsburgh, PA 15212-4774

Mailing address

1307 Federal Street Suite B201
Pittsburgh, PA 15212-4774
Phone (412) 359-3355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nunderwood158331@direct.ahn.org

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
I20180320000382 PA Practitioner - Physician Assistant 9830451442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

1621 Union Ave
Suite C
Natrona Heights, PA 15065-2144
Phone (724) 224-6700

320 E N Ave
Pittsburgh, PA 15212-4756

4815 Liberty Ave
Pittsburgh, PA 15224-2156

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Feb 28, 2018 Accepting new patients
Allegheny Clinic CurrentSince Feb 28, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

6321 State Route 30
Ste 200
Greensburg, PA 15601
Phone (412) 373-6666

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2566 Haymaker Rd
Ste 311
Monroeville, PA 15146
Phone (412) 359-6800

4815 Liberty Ave
Ste GR50
Pittsburgh, PA 15224
Phone (412) 578-1212

4815 Liberty Ave
Ste GR30
Pittsburgh, PA 15224
Phone (412) 621-3844

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

1307 Federal St
Ste B201
Pittsburgh, PA 15212
Phone (412) 578-1212

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1760997423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL STREET SUITE B201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124774",
            "telephone_number": "412-359-3355",
            "fax_number": "412-359-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SUITE B201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124774",
            "telephone_number": "412-359-3355",
            "fax_number": "412-359-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "NICOLE",
        "middle_name": "JULIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nunderwood158331@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St",
            "address_2": "Suite B201",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.