UPPER ALLEGHENY MEDICAL CENTER
NPI 1962469486
Clinic/Center - Rural Health in Port Allegany, PA
About Upper Allegheny Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPPER ALLEGHENY MEDICAL CENTER (NPI 1962469486) is a healthcare organization registered as a rural health in Port Allegany, Pennsylvania and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through June 24, 2028 and lists Mark H Shelley, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upper Allegheny Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Upper Allegheny Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0662965
Port Allegany Family Practice · Port Allegany, PAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Port Allegany Area Family Practice PC's NPI number?
The NPI number for Port Allegany Area Family Practice PC is 1962469486. It was assigned to this organization in the NPPES registry on April 27, 2006. The provider is doing business as Upper Allegheny Medical Center.
Where is Port Allegany Area Family Practice PC located?
Port Allegany Area Family Practice PC is located at 1 Willow St, Port Allegany, PA 16743. The listed phone number is (814) 642-9531.
What is Port Allegany Area Family Practice PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Port Allegany Area Family Practice PC enrolled in Medicare?
Yes. Port Allegany Area Family Practice PC is registered in the Medicare PECOS enrollment system.
When is Port Allegany Area Family Practice PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Port Allegany Area Family Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Port Allegany Area Family Practice PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Port Allegany Area Family Practice PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0662965) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Port Allegany Area Family Practice PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Port Allegany Area Family Practice PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Port Allegany Area Family Practice PC was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Upper Allegheny Medical Center · NPI 1962469486
Rural Health organization in Port Allegany, Pennsylvania. Organization record, active in the CMS NPPES registry since April 27, 2006.
## Identity
- **NPI:** 1962469486 (Entity type: Organization)
- **Enumerated:** April 27, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Port Allegany Area Family Practice Pc
- **Organization subpart:** No
- **Authorized official:** Mark Shelley, PRESIDENT
## Practice location
- **Address:** 1 WILLOW ST, Port Allegany, PA 16743-1332
- **Phone:** (814) 642-9531 · **Fax:** (814) 642-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2022
- **Other identifiers:** Other 861827 (PA); Medicaid 0014032880001 (PA); Other CF9006
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962469486) · Data from the CMS NPPES public registry.