Active NPI
Kristen Marie Cosgray, PA-C
- Physician Assistant
- Weirton, WV
National Provider Identifier
1013565571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3158 West St
Weirton, WV 26062-4637 - Phone
- (304) 797-7733
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3158 West St
Weirton, WV 26062-4637
Mailing address
427A W 36TH Street Ext
Shadyside, OH 43947-9756
Phone (740) 359-8104
Other practice location 1
10 Medical Park Ste 101
Wheeling, WV 26003-6389
Phone (304) 243-8669
Other names 1
- Kristen Marie Fijalkowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201120001926 | WV | Practitioner - Physician Assistant | 0143655365 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
Hospital & facility affiliations
- Wheeling Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2284 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Health and Education Building | Current | Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
WV
-
- Student Health Clinic/Center
- Morgantown, WV
- NPI 1174803027
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1013565571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427A W 36TH STREET EXT",
"city": "SHADYSIDE",
"state": "OH",
"postal_code": "439479756",
"telephone_number": "740-359-8104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3158 WEST ST",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624637",
"telephone_number": "304-797-7733"
}
],
"practiceLocations": [
{
"address_1": "10 Medical Park Ste 101",
"address_purpose": "LOCATION",
"city": "Wheeling",
"state": "WV",
"postal_code": "260036389",
"country_code": "US",
"telephone_number": "304-243-8669",
"fax_number": "304-243-3825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSGRAY",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "FIJALKOWSKI",
"middle_name": "MARIE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.