Krystina Marian Hadra, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4502 Cortez Rd W Ste 205
Bradenton, FL 34210-3124

Phone

(941) 259-8505

Fax

(941) 259-8501

NPI assigned

May 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Krystina M Mand Former name

Medicare fee-for-service enrollment

Enrolled in FL

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Florida Home Health Home health agency, Bradenton, FL, CCN 108049

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles (5 of 7)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Florida Medical Specialists LLC

  • Hematology & Oncology Physician
  • Sarasota, FL
  • NPI 1750399598

  FL

  Medicare reassignment Care Compare group
• Maxhealth Now of Florida, LLC

  • Hospitalist Physician
  • Sarasota, FL
  • NPI 1356734032

  FL

  Medicare reassignment
• Florida Medical Specialists, LLC

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1447742200
  Care Compare group
• Florida Medical Specialists LLC

  • Hematology & Oncology Physician
  • Lakewood Ranch, FL
  • NPI 1891419925
  NPD
• Florida Medical Specialists, LLC

  • Physical Medicine & Rehabilitation Physician
  • Bradenton, FL
  • NPI 1851731509
  NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015
  NPD (past)
• Florida Medical Specialists LLC

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1164795563
  NPD (past)
• HPP Physicians LLC

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1184093023
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caretenders Visiting Services of District 6, LLC

  • Home Health Agency
  • Bradenton, FL
  • NPI 1932131422
  Care Compare affiliation

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1013353960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 CORTEZ RD W STE 205",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103124",
            "telephone_number": "941-259-8505",
            "fax_number": "941-259-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADRA",
        "first_name": "KRYSTINA",
        "middle_name": "MARIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0Q91",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016921400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTINA",
            "last_name": "MAND",
            "middle_name": "M",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Haase, ARNP
• John Daniel Hadac
• Ronald Terry Hadam, DPM
• Arielle Haddad, DMD
• Angela Haddon
• Julian Francisco Haerle, DNP, FNP-C
• Amanda Hafer, D.O.
• Cassandra Hafner, DO
• Debbie Lynn Hage, LCSW
• Travis R. Hage, LMHC

• All providers in Bradenton, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.