Individual provider Active NPI

Beth M Nickel, PA-C

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1912249731
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA055983 Issued in PA
Practice address
1307 Federal St Ste 2
Pittsburgh, PA 15212-4769
Phone
(877) 660-6777
Fax
(412) 359-8055
NPI assigned
Mar 19, 2013
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055983 PA
Surgical Physician Assistant 363AS0400X MA055983 PA Primary

Addresses

Primary practice location

1307 Federal St Ste 2
Pittsburgh, PA 15212-4769

Mailing address

1307 Federal St Ste 2
Pittsburgh, PA 15212-4769
Phone (877) 660-6777

Other identifiers 2

IdentifierTypeStateIssuer
12542201OtherCAQH
103230203MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bnickel21608@direct.ahn.org

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
I20130524000527 PA Practitioner - Physician Assistant 3870731227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

114 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 831-8089

118 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 469-7110

122 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 283-1133

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

1307 Federal St
Pittsburgh, PA 15212-4769

138 Gallery Dr
Canonsburg, PA 15317-2690
Phone (412) 267-6290

160 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 359-3457

2027 Lebanon Church Rd
West Mifflin, PA 15122-2461
Phone (412) 655-6500

20397 Route 19
Cranberry Township, PA 16066-6133
Phone (724) 772-3300

2419 State Ave
Coraopolis, PA 15108-2233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055983PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Sep 15, 2013 Accepting new patients
Allegheny Clinic CurrentSince Sep 15, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

1307 Federal St
Ste 2
Pittsburgh, PA 15212
Phone (412) 330-4461

4815 Liberty Ave
Ste 252
Pittsburgh, PA 15224
Phone (412) 235-5830

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

970 Freeport Rd
Pittsburgh, PA 15238
Phone (412) 325-5000

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Organizations & group practices 5

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 7

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1912249731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "877-660-6777",
            "fax_number": "412-359-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055983",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA055983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12542201",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103230203",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bnickel21608@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1307 Federal St Ste 2",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.