Individual provider Active NPI

Tiffany A Replogle, PA-C

  • Medical Physician Assistant
  • Meadville, PA
National Provider Identifier
1871569467
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA052149 Issued in PA
Practice address
149 N Main St
Meadville, PA 16335-1112
Phone
(814) 333-3939
Fax
(814) 333-8819
NPI assigned
Feb 24, 2006
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA052149 PA Primary

Addresses

Primary practice location

149 N Main St
Meadville, PA 16335-1112

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-3939

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
I20051018000287 PA Practitioner - Physician Assistant 6406872621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

149 N Main St
Dermatology and Skin Surg Inst
Meadville, PA 16335-1112
Phone (814) 333-3939

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Sep 4, 2013 Accepting new patients
Meadville Medical Center CurrentSince Sep 4, 2013 Accepting new patients

Locations

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

149 N Main St
Meadville, PA 16335
Phone (814) 333-3939

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

Interoperability endpoints

  • Direct secure messaging: tiffany.replogle@directaddress.net

Organizations & group practices 2

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1871569467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-3939",
            "fax_number": "814-333-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N MAIN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351112",
            "telephone_number": "814-333-3939",
            "fax_number": "814-333-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPLOGLE",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.