Individual provider Active NPI

Rachael Marie Priola, PA-C

  • Physician Assistant
  • Greensburg, PA
National Provider Identifier
1952053555
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063339 Issued in PA
Practice address
419 W Pittsburgh St
Greensburg, PA 15601-2211
Phone
(724) 837-5810
Fax
(724) 837-8938
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063339 PA Primary

Addresses

Primary practice location

419 W Pittsburgh St
Greensburg, PA 15601-2211

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

2790 Mosside Blvd Ste 720
Monroeville, PA 15146-2757
Phone (412) 372-2770

Other practice location 2

2790 Mosside Blvd Ste 705
Monroeville, PA 15146-2757
Phone (412) 372-2770

Other identifiers 1

IdentifierTypeStateIssuer
15584686OtherCAQH

Other names 1

  • Rachael Marie Roman Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Rachael.Roman@forefrontdermatology.emadirect.md
Direct Messaging Address Rachael.Roman@forefrontdermatology.emadirect.md
Direct Messaging Address Rachael.Roman@forefrontdermatology.emadirect.md

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
I20220623000292 PA Practitioner - Physician Assistant 9234518184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

180 Fort Couch Rd
Suite 200
Pittsburgh, PA 15241-1046
Phone (412) 595-0430

2790 Mosside Blvd
Monroeville, PA 15146-2757
Phone (412) 372-2770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA063339PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince May 6, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince May 6, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

419 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 837-5810

2790 Mosside Blvd
Ste 720
Monroeville, PA 15146
Phone (412) 372-2770

2790 Mosside Blvd
Ste 705
Monroeville, PA 15146
Phone (412) 372-2770

180 Fort Couch Rd
Ste 200
Pittsburgh, PA 15241
Phone (412) 595-0430

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: rachael.roman@forefrontdermatology.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1952053555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012211",
            "telephone_number": "724-837-5810",
            "fax_number": "724-837-8938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Mosside Blvd Ste 720",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462757",
            "country_code": "US",
            "telephone_number": "412-372-2770",
            "fax_number": "412-372-4656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Mosside Blvd Ste 705",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462757",
            "country_code": "US",
            "telephone_number": "412-372-2770",
            "fax_number": "412-372-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIOLA",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15584686",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachael.Roman@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "419 W Pittsburgh St",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156012211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachael.Roman@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2790 Mosside Blvd Ste 720",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachael.Roman@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2790 Mosside Blvd Ste 705",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "ROMAN",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.