Individual provider Active NPI

Katelyn Fitzgerald, PA-C

  • Surgical Physician Assistant
  • Sewickley, PA
National Provider Identifier
1891536629
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA065610 Issued in PA
Practice address
1099 Ohio River Blvd
Sewickley, PA 15143-2056
Phone
(412) 741-5670
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA065610 PA Primary

Addresses

Primary practice location

1099 Ohio River Blvd
Sewickley, PA 15143-2056

Mailing address

1099 Ohio River Blvd
Sewickley, PA 15143-2056
Phone (412) 741-5670

Other identifiers 1

IdentifierTypeStateIssuer
16309020OtherCAQH

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
I20241014000763 PA Practitioner - Physician Assistant 3072045285 Reassigns benefits to 2 organizations

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
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

1099 Ohio River Blvd
Sewickley, PA 15143-2056
Phone (412) 741-5670

449 N Hermitage Rd
Upmc Regional Orthopaedics
Hermitage, PA 16148-3342
Phone (724) 962-9622

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065610PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Sep 11, 2024 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 12, 2026 Accepting new patients
Upmc Community Medcine Inc CurrentSince Jan 12, 2026 Accepting new patients
Allegheny Clinic CurrentSince Sep 11, 2024 Accepting new patients

Locations

449 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 347-4099

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

1099 Ohio River Blvd
Sewickley, PA 15143
Phone (412) 741-5670

Interoperability endpoints

  • Direct secure messaging: kfitzgerald751420@direct.ahn.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1891536629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 OHIO RIVER BLVD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432056",
            "telephone_number": "412-741-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 OHIO RIVER BLVD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432056",
            "telephone_number": "412-741-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KATELYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA065610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16309020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.