Individual provider Active NPI

Melinda Lackey

  • Physician Assistant
  • Grove City, PA
National Provider Identifier
1992219562
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059557 Issued in PA
Practice address
420 Hillcrest Ave
Grove City, PA 16127-1708
Phone
(724) 458-4950
NPI assigned
Nov 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 MA059557 PA Primary

Addresses

Primary practice location

420 Hillcrest Ave
Grove City, PA 16127-1708

Mailing address

420 Hillcrest Ave
Grove City, PA 16127-1708

Other practice location 1

5126 Route 30 Ste 300
Greensburg, PA 15601-7835
Phone (724) 836-3027

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melinda.lackey@upmcdirect.com UPMC

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
I20180709001971 PA Practitioner - Physician Assistant 2163778903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

12116 State Route 30
North Huntingdon, PA 15642-1843
Phone (724) 863-4362

3433 William Penn Hwy
Upmc Gohealth Urgent Care
Pittsburgh, PA 15235-5412
Phone (412) 825-3627

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

5126 Route 30
Suite 300
Greensburg, PA 15601-7835
Phone (724) 836-3027

6510 Route 30
Jeannette, PA 15644-3170
Phone (724) 527-3428

8945 Route 30
North Huntingdon, PA 15642-2704
Phone (724) 382-7046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059557PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince May 30, 2018 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 1, 2021 Accepting new patients
Upmc Community Medcine Inc CurrentSince May 30, 2018 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 1, 2021 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

5126 State Route 30
Ste 300
Greensburg, PA 15601
Phone (724) 836-3027

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Organizations & group practices 7

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": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1992219562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HILLCREST AVE",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HILLCREST AVE",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271708",
            "telephone_number": "724-458-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5126 Route 30 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156017835",
            "country_code": "US",
            "telephone_number": "724-836-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinda.lackey@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.