Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801556212 Individual Practitioner Female Practitioner

Kaylea Ann Deruelle , PA-C

Physician Assistant • Pittsburgh, PA

Professional Overview & Biography Verified Profile Summary

Kaylea Deruelle, PA-C is a registered healthcare professional specializing in Physician Assistant in Pittsburgh, PA. Practice services are available at 4401 PENN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4401 Penn Ave

Pittsburgh, PA 152241334

Telephone 4126925530
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pittsburgh, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
916 Specialists

Practicing in Pittsburgh, PA (8068 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA063096

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License PA MA063096

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1037308370001 (PA)
Medicaid State Provider ID
1037308370002 (PA)
Medicaid State Provider ID
1037308370003 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Mahima Rajan , DO

Student in an Organized Health Care Education/Training Program

NPI 1033964903

Doctor of Osteopathic Medicine (D.O.)

W Ward

Specialist

NPI 1396711461
Allyson Simunic , PA-C

Physician Assistant

NPI 1487258687

Physician Assistant (Certified)

Dr. Bahaureh Mohseni , DO

Pediatrics - Sports Medicine

NPI 1750841284

Doctor of Osteopathic Medicine (D.O.)

Stephen Mendelson

Orthopaedic Surgery

NPI 1841265501
Erica Callahan

Nurse Anesthetist, Certified Registered

NPI 1912080300

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 21, 2025

Registered at 4401 PENN AVE, PITTSBURGH, PA 152241334 (Tel: 4126925530)

📍
Updated Business Mailing Address January 21, 2025

Registered at 600 GRANT ST, PITTSBURGH, PA 152192702

👤
Provider Name / Credentials Updated July 13, 2023

Recorded as KAYLEA DERUELLE, PA-C

NPI Profile Active December 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2021

Registered at 810 CLAIRTON BLVD, SUITE 100, PITTSBURGH, PA 152364519 (Tel: 4124665004)

📍
Updated Business Mailing Address December 27, 2021

Registered at 810 CLAIRTON BLVD, SUITE 100, PITTSBURGH, PA 152364519 (Tel: 4124665004)

👤
Provider Name / Credentials Updated December 27, 2021

Recorded as KAYLEA CHRISMAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2021

Physician Assistant (License #MA063096 in PA)

🟢
Initial NPI Registration & Enumeration December 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801556212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2021
Last Update: January 21, 2025
Sole Proprietor: No

Mailing Address

600 Grant St

Pittsburgh, PA 152192702

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.