Individual provider Active NPI

Maryevelyn Pifer, PA-C

  • Medical Physician Assistant
  • Corry, PA
National Provider Identifier
1922028372
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001745L Issued in PA
Practice address
315 York St
Corry, PA 16407-1412
Phone
(814) 664-8686
Fax
(814) 664-9826
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 MA001745L PA Primary

Addresses

Primary practice location

315 York St
Corry, PA 16407-1412

Mailing address

315 York St
Corry, PA 16407-1412
Phone (814) 664-8686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpifer150996@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
I20100824000186 PA Practitioner - Physician Assistant 0446374763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

155 E State St
Albion Family Practice
Albion, PA 16401-1347
Phone (814) 756-4917

315 York St
Corry, PA 16407-1412
Phone (814) 726-1122

Hospital & facility affiliations

  • Lecom Health Corry Memorial Hospital Hospital, Corry, PA, CCN 391308
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.62
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5195NYMDAcupuncturist
MA001745LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Corry Medical Services, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mpifer150996@direct.ahn.org

Organizations & group practices 2

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 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1922028372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIFER",
        "first_name": "MARYEVELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001745L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpifer150996@direct.ahn.org",
            "affiliation": "N",
            "address_1": "315 York St",
            "city": "Corry",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164071412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

Verify at the official NPI Registry.