Individual provider Active NPI

Alyssa Marie Gibino, PA-C

  • Physician Assistant
  • Charleroi, PA
National Provider Identifier
1881104511
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058997 Issued in PA
Practice address
1200 McKean Ave
Charleroi, PA 15022-2141
Phone
(724) 489-0866
NPI assigned
Oct 9, 2017
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 MA058997 PA Primary

Addresses

Primary practice location

1200 McKean Ave
Charleroi, PA 15022-2141

Mailing address

14 Shannon Rd
Monongahela, PA 15063-3410
Phone (724) 600-6355

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
I20171206003038 PA Practitioner - Physician Assistant 1557628112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Center, IncGroup PAC ID 9335040450, 8 clinicians

Practice addresses (Care Compare)

119 Wilson Rd
Bentleyville, PA 15314-1027
Phone (724) 239-4700

1200 McKean Ave
Suite 104
Charleroi, PA 15022-2141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.39 of 100Reported as group
Quality
95.12
Improvement activities
40
Cost
87.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JRMC Specialty Group Practice Past Accepting new patients
Novacare Outpatient Rehabilitation East Inc PastSince Dec 13, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Hamot Past Accepting new patients
Arthur M. Santos, M.D., P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alyssa.lapia@swmc.eclinicaldirectplus.com

Organizations & group practices 7

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 3

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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1881104511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SHANNON RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633410",
            "telephone_number": "724-600-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MCKEAN AVE",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222141",
            "telephone_number": "724-489-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBINO",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleroi, PA

Sources for this page

Verify at the official NPI Registry.