Alicia Kathleen Crinella, PA-C

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MA059377 Issued in PA

Practice address

3 W Olive St
Scranton, PA 18508-2572

Phone

(570) 961-3823

Fax

(570) 207-5988

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868

  PA

  Medicare reassignment Care Compare group
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  Care Compare group NPD
• Geisinger Clinic

  • Surgery Physician
  • Danville, PA
  • NPI 1255382784
  Care Compare group
• Geisinger Clinic

  • Psychologist
  • Danville, PA
  • NPI 1427086065
  Care Compare group
• Geisinger Clinic

  • Clinical Medical Laboratory
  • Lock Haven, PA
  • NPI 1528010006
  Care Compare group
• Geisinger Clinic

  • Durable Medical Equipment & Medical Supplies
  • Scranton, PA
  • NPI 1730693235
  Care Compare group
• Geisinger Clinic

  • Cardiac Rehabilitation Registered Nurse
  • Wilkes Barre, PA
  • NPI 1841995214
  Care Compare group
• Geisinger Clinic

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1225445612
  NPD
• Emergency Services, PC

  • Emergency Medicine Physician
  • Scranton, PA
  • NPI 1588686166

  Emergency Medicine

  NPD (past)
• Geisinger Clinic

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1588614358
  NPD (past)

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1003326901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W OLIVE ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082572",
            "telephone_number": "570-961-3823",
            "fax_number": "570-207-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRINELLA",
        "first_name": "ALICIA",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059377",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MA059377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aedwards152267@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 W Olive St",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185082572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Eric Coval
• Carlie Ann Craven
• Nicole Craven, CRNP
• Colleen Maria Crawford
• Karen Crecco, R.PH.
• Cory Crinella
• Lauren Marie Crinella, PA-C
• Chad Crispell
• Crossgate Sleep Center, LLC
• Amanda M Crowley, MS, NCC

• All providers in Scranton, PA
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.