Individual provider Active NPI

Amber Lea Shields, PA-C

  • Medical Physician Assistant
  • Gibsonia, PA
National Provider Identifier
1942878848
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA042183 Issued in PA
Practice address
5375 William Flynn Hwy
Gibsonia, PA 15044-9666
Phone
(724) 449-6245
Fax
(724) 449-3233
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 MA042183 PA Primary

Addresses

Primary practice location

5375 William Flynn Hwy
Gibsonia, PA 15044-9666

Mailing address

5375 William Flynn Hwy
Gibsonia, PA 15044-9666
Phone (724) 449-6245

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
I20211013000782 PA Practitioner - Physician Assistant 2668870288 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA042183PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Sep 29, 2021 Accepting new patients
Allegheny Clinic CurrentSince Sep 29, 2021 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

5375 William Flynn Hwy
Gibsonia, PA 15044
Phone (724) 444-4700

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

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

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

301 Ohio River Blvd
Ste 301
Sewickley, PA 15143
Phone (412) 741-6530

Interoperability endpoints

  • Direct secure messaging: ashields427512@direct.ahn.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1942878848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449666",
            "telephone_number": "724-449-6245",
            "fax_number": "724-449-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449666",
            "telephone_number": "724-449-6245",
            "fax_number": "724-449-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "AMBER",
        "middle_name": "LEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA042183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.