Individual provider Active NPI

Bethany Skosnik

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1942636139
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA056464 Issued in PA
Practice address
3550 Terrace St
Scaife Hall Suite 497
Pittsburgh, PA 15213-2500
Phone
(888) 847-8836
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 MA056464 PA Primary

Addresses

Primary practice location

3550 Terrace St
Scaife Hall Suite 497
Pittsburgh, PA 15213-2500

Mailing address

3550 Terrace St
Scaife Hall Suite 497
Pittsburgh, PA 15213-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bethany.e.matis@upmcdirect.com UPMC

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
I20131119000659 PA Practitioner - Physician Assistant 6709012859 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056464PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 11, 2013 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 11, 2013 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

Organizations & group practices 3

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1942636139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 TERRACE ST",
            "address_2": "SCAIFE HALL SUITE 497",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 TERRACE ST",
            "address_2": "SCAIFE HALL SUITE 497",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132500",
            "telephone_number": "888-847-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOSNIK",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA056464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethany.e.matis@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.