Individual provider Active NPI

Juliana Bursic Mancini, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1972958239
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062211 Issued in PA
Practice address
1020 Center Ave
Pittsburgh, PA 15229-1724
Phone
(412) 931-3066
Fax
(412) 939-9965
NPI assigned
Apr 25, 2016
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C06151 MD
Physician Assistant 363A00000X MA062211 PA Primary

Addresses

Primary practice location

1020 Center Ave
Pittsburgh, PA 15229-1724

Mailing address

8150 Perry Hwy Ste 201
Pittsburgh, PA 15237-5200
Phone (412) 369-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200418000187 DC Practitioner - Physician Assistant 8729375241 Reassigns benefits to 1 organization
I20210520002160 PA Practitioner - Physician Assistant 8729375241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

3601 McKnight E Dr
Pittsburgh, PA 15237-6400
Phone (412) 369-9943

5830 Meridian Rd
Gibsonia, PA 15044-9668
Phone (412) 931-3066

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062211PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince May 3, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5830 Meridian Rd
Gibsonia, PA 15044
Phone (724) 443-0700

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

8150 Perry Hwy
Ste 300
Pittsburgh, PA 15237
Phone (412) 369-9550

9104 Babcock Blvd
Ste 3111
Pittsburgh, PA 15237
Phone (412) 364-5490

1020 Center Ave
West View, PA 15229
Phone (412) 931-3066

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1972958239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 PERRY HWY STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375200",
            "telephone_number": "412-369-9550",
            "fax_number": "412-369-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CENTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291724",
            "telephone_number": "412-931-3066",
            "fax_number": "412-939-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "JULIANA",
        "middle_name": "BURSIC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2023-02-14",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C06151",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.