Kelly Fama
Individual provider Active NPI Physician Assistant · Hollidaysburg, PA
NPI 1790745347 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1790745347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA002053L (PA)
- Practice address
- 721 N Juniata St
First Floor Suite
Hollidaysburg, PA 16648-1455 - Phone
- (814) 695-5591
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.88 of 100
- Quality
- 62.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.81 of 100
- Quality
- 42.46
- Improvement activities
- 40
- Cost
- 76.23
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040402000660 | PA | Practitioner - Physician Assistant | 1052303542 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA002053L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Hematology Association | Current |
Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Blair Medical Associates | Past |
Accepting new patients |
Locations
337 Somerset St
Johnstown, PA 15901
Phone (814) 533-0106
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA002053L | PA | Yes |
Addresses
Primary practice location
721 N Juniata St
First Floor Suite
Hollidaysburg, PA 16648-1455
Mailing address
1414 9TH Ave
Station Medical Center
Altoona, PA 16602-2415
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelly.a.fama@upmcdirect.com | UPMC |
Other providers in Hollidaysburg, PA
- Alison Elise Dunn-Davis
- David A. Eardley
- Alyssa Ann Eckenrode
- Cynthia Kay Eckenrode
- Katelyn M Evans
- Maranda Jo Fambrough
- Erica Farabaugh
- Fink Anesthesia
- Michele Theresa Fiore
- Christopher Andrew Fischer
All providers in Hollidaysburg, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.