Individual provider Active NPI

Mary E Rooney, PA-C

  • Physician Assistant
  • Erie, PA
National Provider Identifier
1992479265
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062701 Issued in PA
Practice address
100 Peach St Ste 400
Erie, PA 16507-1423
Phone
(148) 779-1008
Fax
(144) 548-4708
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005740 PA
Physician Assistant 363A00000X MA062701 PA Primary

Addresses

Primary practice location

100 Peach St Ste 400
Erie, PA 16507-1423

Mailing address

100 Peach St Ste 400
Erie, PA 16507-1423
Phone (148) 779-1008

Other names 1

  • Mary E Petro Former name

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
I20210909001425 PA Practitioner - Physician Assistant 8628474053 Reassigns benefits to 2 organizations

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
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
85.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA005740PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Therapeutics Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

300 State St
Ste 205
Erie, PA 16507
Phone (814) 456-6022

Interoperability endpoints

  • Direct secure messaging: mary.petro@upmcdirect.com
  • Direct secure messaging: mpetro@hmro.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1992479265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "148-779-1008",
            "fax_number": "144-548-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 400",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "148-779-1008",
            "fax_number": "144-548-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005740",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PETRO",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.