Individual provider Active NPI

Amanda Prorok, PA-C

  • Physician Assistant
  • Natrona Heights, PA
National Provider Identifier
1851118343
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065730 Issued in PA
Practice address
1621 Union Ave
Natrona Heights, PA 15065-2144
Phone
(724) 224-6700
NPI assigned
Sep 25, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 MA065730 PA Primary

Addresses

Primary practice location

1621 Union Ave
Natrona Heights, PA 15065-2144

Mailing address

132 W McQuistion Rd
Butler, PA 16001-3434

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
I20241223003096 PA Practitioner - Physician Assistant 8022545466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
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)

1304 Pittsburgh St
Cheswick, PA 15024-1447
Phone (412) 767-5387

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

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Nov 13, 2024 Accepting new patients
Allegheny Clinic CurrentSince Nov 13, 2024 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

160 Hollywood Dr
Butler, PA 16001
Phone (724) 282-6175

1304 Pittsburgh St
Cheswick, PA 15024
Phone (412) 767-5387

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

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

Interoperability endpoints

  • Direct secure messaging: aprorok967744@direct.ahn.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1851118343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W MCQUISTION RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160013434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 UNION AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652144",
            "telephone_number": "724-224-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROROK",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

Verify at the official NPI Registry.