Active NPI
Melissa Marie Kagarise, PA-C
- Physician Assistant
- Altoona, PA
National Provider Identifier
1861792012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA-002061L
- Practice address
- 2525 9TH Ave
Altoona, PA 16602-2014 - Phone
- (814) 201-2309
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA-002061L | PA | Primary |
Addresses
Primary practice location
2525 9TH Ave
Altoona, PA 16602-2014
Mailing address
219 Mallard LN
Duncansville, PA 16635-4555
Phone (814) 695-3032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA-002061L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1861792012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 MALLARD LN",
"city": "DUNCANSVILLE",
"state": "PA",
"postal_code": "166354555",
"telephone_number": "814-695-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 9TH AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166022014",
"telephone_number": "814-201-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGARISE",
"first_name": "MELISSA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA-002061L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.