Individual provider Active NPI

Ericka Taylor Gibbon, PA-C

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1851939771
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005152 Issued in PA
Practice address
2790 Mosside Blvd Ste 105
Monroeville, PA 15146-2836
Phone
(412) 372-2277
NPI assigned
Dec 11, 2019
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X OA005152 PA Primary

Addresses

Primary practice location

2790 Mosside Blvd Ste 105
Monroeville, PA 15146-2836

Mailing address

2790 Mosside Blvd Ste 105
Monroeville, PA 15146-2836
Phone (412) 372-2277

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
I20200611000289 PA Practitioner - Physician Assistant 2961823323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zitelli and Brodland PCGroup PAC ID 4284622978, 25 clinicians

Practice addresses (Care Compare)

2790 Mosside Blvd
Suite 105
Monroeville, PA 15146-2836
Phone (412) 372-2277

5200 Centre Ave
Suite 303
Pittsburgh, PA 15232-1312
Phone (412) 681-9400

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zitelli & Brodland PC Current Accepting new patients
Zitelli & Brodland PC Past Accepting new patients

Locations

5200 Centre Ave
Ste 303
Pittsburgh, PA 15232
Phone (412) 681-9400

Interoperability endpoints

  • Direct secure messaging: ericka.gibbon@qdp.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1851939771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 MOSSIDE BLVD STE 105",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462836",
            "telephone_number": "412-372-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 MOSSIDE BLVD STE 105",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462836",
            "telephone_number": "412-372-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBON",
        "first_name": "ERICKA",
        "middle_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.