Individual provider Active NPI

Erica Pacilla, NP-C

  • Nurse Practitioner
  • Canonsburg, PA
National Provider Identifier
1922615236
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP023012 Issued in PA
Practice address
100 Medical Blvd
Canonsburg, PA 15317-9762
Phone
(412) 359-3030
Fax
(412) 359-3060
NPI assigned
Sep 30, 2020
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP023012 PA Primary
Family Nurse Practitioner 363LF0000X SP023012 PA

Addresses

Primary practice location

100 Medical Blvd
Canonsburg, PA 15317-9762

Mailing address

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (412) 359-3030

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
I20210419000309 PA Practitioner - Nurse Practitioner 5294143970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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)

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

4800 Friendship Ave
Pittsburgh, PA 15224-1722

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Apr 11, 2022 Accepting new patients
Pcma Palliative Division LLC CurrentSince May 1, 2021 Accepting new patients
Allegheny Clinic CurrentSince Apr 11, 2022 Accepting new patients
Personal Care Medical Associates, LLC Past Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

Interoperability endpoints

  • Direct secure messaging: estickney135721@direct.ahn.org

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 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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1922615236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "412-359-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "412-359-3030",
            "fax_number": "412-359-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACILLA",
        "first_name": "ERICA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023012",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.