Individual provider Active NPI

Kelsey Beth Wardrop, PA-C

  • Medical Physician Assistant
  • Monroeville, PA
National Provider Identifier
1972857142
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057016 Issued in PA
Practice address
1620 Golden Mile Hwy Ste 100
Monroeville, PA 15146-2010
Phone
(724) 733-5151
Fax
(724) 327-7221
NPI assigned
Nov 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 MA057016 PA Primary

Addresses

Primary practice location

1620 Golden Mile Hwy Ste 100
Monroeville, PA 15146-2010

Mailing address

3824 Northern Pike
Ste 700
Monroeville, PA 15146-2141
Phone (412) 457-0060

Other names 1

  • Ms. Kelsey Beth Ratesic Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelseyratesic@pmapa.allscriptsdirect.net Direct

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
I20150601002159 PA Practitioner - Physician Assistant 4284886722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates PCGroup PAC ID 9830003235, 104 clinicians

Practice addresses (Care Compare)

1620 Golden Mile Hwy
Suite 100
Monroeville, PA 15146-2010
Phone (724) 733-5151

3824 Northern Pike
Monroeville, PA 15146-2175

3824 Northern Pike
Suite 200
Monroeville, PA 15146-2173
Phone (412) 380-2800

Hospital & facility affiliations

  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates PC CurrentSince Jan 5, 2015 Accepting new patients
Premier Medical Associates, PC CurrentSince Jan 5, 2015 Accepting new patients

Locations

3824 Northern Pike
Ste 200
Monroeville, PA 15146
Phone (412) 380-2800

1620 Golden Mile Hwy
Ste 100
Monroeville, PA 15146
Phone (724) 349-5620

3824 Northern Pike
Ste 700
Monroeville, PA 15146
Phone (412) 457-0060

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

Interoperability endpoints

  • Direct secure messaging: kwardrop627924@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 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": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1972857142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE",
            "address_2": "STE 700",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462141",
            "telephone_number": "412-457-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GOLDEN MILE HWY STE 100",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462010",
            "telephone_number": "724-733-5151",
            "fax_number": "724-327-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDROP",
        "first_name": "KELSEY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelseyratesic@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1620 Golden Mile Hwy Ste 100",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "RATESIC",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.