NPIMap

Individual provider Active NPI

Amanda Jo Webb, PA-C

  • Physician Assistant
  • Washington, PA
National Provider Identifier
1992102560
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057384 Issued in PA
Practice address
380 W Chestnut St Ste 101
Washington, PA 15301-4658
Phone
(724) 228-1414
Fax
(724) 228-8579
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 MA057384 PA Primary

Addresses

Primary practice location

380 W Chestnut St Ste 101
Washington, PA 15301-4658

Mailing address

380 W Chestnut St Ste 101
Washington, PA 15301-4658
Phone (724) 228-1414

Other identifiers 1

IdentifierTypeStateIssuer
14212085OtherCAQH

Other names 1

  • Amanda Jo Shupe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awebb177308@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225001140 PA Practitioner - Physician Assistant 9638495211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

1001 9TH Ave
Brackenridge, PA 15014-1107
Phone (412) 359-8850

320 E N Ave
Pittsburgh, PA 15212-4756

400 Locust Ave
Washington, PA 15301-3397
Phone (724) 222-9300

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Hospital & facility affiliations

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
Allegheny Clinic CurrentSince Aug 18, 2018 Accepting new patients
Allegheny Clinic CurrentSince Aug 18, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

380 W Chestnut St
Ste 101
Washington, PA 15301
Phone (724) 228-1414

Interoperability endpoints

  • Direct secure messaging: awebb177308@direct.ahn.org

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 6

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": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1992102560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W CHESTNUT ST STE 101",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014658",
            "telephone_number": "724-228-1414",
            "fax_number": "724-228-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W CHESTNUT ST STE 101",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014658",
            "telephone_number": "724-228-1414",
            "fax_number": "724-228-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14212085",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awebb177308@direct.ahn.org",
            "affiliation": "N",
            "address_1": "380 W Chestnut St Ste 101",
            "city": "Washington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153014658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SHUPE",
            "middle_name": "JO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.