Ashlee Nicole Spack, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA003498 Issued in PA

Practice address

551 W Mahoning St
Punxsutawney, PA 15767-1909

Phone

(814) 249-7001

Fax

(814) 249-7015

NPI assigned

Jan 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.94 of 100Reported as group

Quality

61.89

Promoting interoperability

100

Improvement activities

40

Cost

74.58

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashlee.n.spack@upmcdirect.com
• Direct secure messaging: aspack20869@gohealthupmc.direct-ci.com

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.

• Ucmg LLC

  • Urgent Care Clinic/Center
  • Allison Park, PA
  • NPI 1972300622
  Medicare reassignment Care Compare group NPD
• Brookville Hospital

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1578733093

  Physician Assistant

  Medicare reassignment NPD
• Geps Physician Group of Pennsylvania PC

  • Internal Medicine Physician
  • Kennett Square, PA
  • NPI 1467471615
  Medicare reassignment NPD
• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  PA

  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  PA

  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment
• Brookville Hospital

  • Rural Health Clinic/Center
  • Brookville, PA
  • NPI 1184333742

  Physician Assistant

  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Urgent Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1942674569
  NPD
• Geps Physician Group of Pennsylvania, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Avondale, AZ
  • NPI 1851774897
  NPD
• Geps Physician Group of Pennsylvania, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
  • NPI 1689077893
  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1811387806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671909",
            "telephone_number": "814-249-7001",
            "fax_number": "814-249-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671909",
            "telephone_number": "814-249-7001",
            "fax_number": "814-249-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACK",
        "first_name": "ASHLEE",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Timothy Smatlak
• Danielle M Smith, OTR L
• Hunter Linda Smith
• Jadie Marie Smith
• Matthew James Smith, CRNP
• Sarah Stanford
• Effie States, RN
• Jaymee States, CCC-SLP
• Phillip John States, M.D.
• Nathan C. Stebbins, O.D.

• Physician Assistant in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.