Individual provider Active NPI

Tessa M Kracinovsky, PA-C

  • Surgical Physician Assistant
  • Monroeville, PA
National Provider Identifier
1912392002
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA057095 Issued in PA
Practice address
2550 Mosside Blvd
Suite 405
Monroeville, PA 15146-3533
Phone
(412) 373-1600
Fax
(412) 373-4197
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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 MA057095 PA Primary

Addresses

Primary practice location

2550 Mosside Blvd
Suite 405
Monroeville, PA 15146-3533

Mailing address

2550 Mosside Blvd
Suite 405
Monroeville, PA 15146-3533
Phone (412) 373-1600

Other identifiers 1

IdentifierTypeStateIssuer
1032073120002MedicaidPA

Other names 1

  • Tessa M Slifka Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tslifka46139@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
I20170408000035 PA Practitioner - Physician Assistant 3173821352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
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)

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

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

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 359-6656

Hospital & facility affiliations

  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267

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
MA057095PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Mar 5, 2017 Accepting new patients
Allegheny Clinic CurrentSince Mar 5, 2017 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

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

2580 Haymaker Rd
Ste 302
Monroeville, PA 15146
Phone (412) 856-1811

2550 Mosside Blvd
Ste 405
Monroeville, PA 15146
Phone (412) 373-1600

4262 Old William Penn Hwy
Ste 110
Murrysville, PA 15668

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

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

2001 Lincoln Way
White Oak, PA 15131
Phone (412) 672-7154

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.

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1912392002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 405",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463533",
            "telephone_number": "412-373-1600",
            "fax_number": "412-373-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD",
            "address_2": "SUITE 405",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463533",
            "telephone_number": "412-373-1600",
            "fax_number": "412-373-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACINOVSKY",
        "first_name": "TESSA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA057095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032073120002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tslifka46139@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2550 Mosside Blvd",
            "address_2": "Suite 405",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "SLIFKA",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.