Individual provider Active NPI

Amanda Gans, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1770008666
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059195 Issued in PA
Practice address
1350 Locust St Ste 300
Pittsburgh, PA 15219-4738
Phone
(412) 471-4772
Fax
(412) 471-0659
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 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 MA059195 PA Primary

Addresses

Primary practice location

1350 Locust St Ste 300
Pittsburgh, PA 15219-4738

Mailing address

1350 Locust St Ste 300
Pittsburgh, PA 15219-4738
Phone (412) 471-4772

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)
Direct Messaging Address gansa2@upmc.edu Health Information Exchange (HIE)

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
I20170928002757 PA Practitioner - Physician Assistant 2365717451 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jun 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 1, 2021 Accepting new patients
St. Clair Medical Services, Inc. Physician Assistant CurrentSince Aug 9, 2017 Accepting new patients
St Clair Medical Services Inc CurrentSince Aug 9, 2017 Accepting new patients

Locations

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

1145 Bower Hill Rd
Ste 105
Pittsburgh, PA 15243
Phone (412) 572-6194

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Interoperability endpoints

  • Direct secure messaging: amanda.gans2@upmcdirect.com

Organizations & group practices 6

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1770008666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-471-4772",
            "fax_number": "412-471-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-471-4772",
            "fax_number": "412-471-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANS",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1145 Bower Hill Rd Ste 105",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gansa2@upmc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1350 Locust St Ste 300",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152194738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.