UPPER ALLEGHENY MEDICAL CENTER – Rural Health Clinic/Center, NPI 1962469486

UPPER ALLEGHENY MEDICAL CENTER is a healthcare provider. based in Port allegany, Pennsylvania. specializing in Rural Health Clinic/Center. The organization holds a License No. MD029656E (PA). The NPI Number for UPPER ALLEGHENY MEDICAL CENTER is 1962469486

Main info

Organization
Name
UPPER ALLEGHENY MEDICAL CENTER
NPI
1962469486
Phone
(814) 642-9531
Address
1 WILLOW ST
Authorized Official
MARK H SHELLEY PRESIDENT M.D.
Enumeration Date
27 April 2006
Last Update Date
22 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness80
Years active:20State licenses:4Digital endpointsUpdated within 12 months

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Provider Addresses for UPPER ALLEGHENY MEDICAL CENTER

  • 1, Willow Street, Port Allegany, McKean County, Pennsylvania, 16743, United States

    PORT ALLEGANY, PA 167431332

    Phone: (814) 642-9531

    Fax: (814) 642-2020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040621000590OClinic/Group PracticePATBD
O20100331000102ORural Health ClinicPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16743)

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Reviews

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Frequently asked questions

What is the registry number for UPPER ALLEGHENY MEDICAL CENTER?
The registry entry for UPPER ALLEGHENY MEDICAL CENTER shows NPI 1962469486.
Does the public listing show UPPER ALLEGHENY MEDICAL CENTER as active?
UPPER ALLEGHENY MEDICAL CENTER's NPI record reflects an active status in NPPES.
What services align with UPPER ALLEGHENY MEDICAL CENTER's listing?
UPPER ALLEGHENY MEDICAL CENTER's public classification highlights Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What city is tied to UPPER ALLEGHENY MEDICAL CENTER?
The directory associates UPPER ALLEGHENY MEDICAL CENTER with Port Allegany, Pennsylvania. Check all listed addresses for suites or satellite offices.
Who maintains UPPER ALLEGHENY MEDICAL CENTER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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