Individual provider Active NPI

Karah A McClelland, PA-C

  • Medical Physician Assistant
  • Johnstown, PA
National Provider Identifier
1902152978
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA005615 Issued in PA
Practice address
422 Main St
Suite 202
Johnstown, PA 15901-1824
Phone
(814) 536-2526
Fax
(814) 536-5437
NPI assigned
Jul 27, 2012
Reactivated
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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 MA005615 PA Primary

Addresses

Primary practice location

422 Main St
Suite 202
Johnstown, PA 15901-1824

Mailing address

422 Main St
Suite 202
Johnstown, PA 15901-1824
Phone (814) 536-2526

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
I20120817000178 PA Practitioner - Physician Assistant 1759537194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.49 of 100Reported as group
Quality
74.04
Promoting interoperability
92
Improvement activities
40
Cost
77.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA005615PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Altoona Speciality Center LLC Past Accepting new patients

Organizations & group practices 4

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1902152978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MAIN ST",
            "address_2": "SUITE 202",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011824",
            "telephone_number": "814-536-2526",
            "fax_number": "814-536-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MAIN ST",
            "address_2": "SUITE 202",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011824",
            "telephone_number": "814-536-2526",
            "fax_number": "814-536-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "KARAH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2015-10-23",
        "deactivation_date": "2014-11-04",
        "reactivation_date": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA005615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.