Individual provider Active NPI

Kristie Conrad, PA

  • Medical Physician Assistant
  • Fleetwood, PA
National Provider Identifier
1043433014
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA051325 Issued in PA
Practice address
14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone
(610) 944-8800
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051325 PA
Medical Physician Assistant 363AM0700X MA051325 PA Primary

Addresses

Primary practice location

14351 Kutztown Rd
Fleetwood, PA 19522-9273

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

470 Sentry Pkwy E Ste 200
Blue Bell, PA 19422-2332
Phone (800) 999-1249

Other names 1

  • Kristie Fizz Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160115000907 PA Practitioner - Physician Assistant 7810290301 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001336CTMDClinical Social Worker
MA051325PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Dec 9, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 9, 2024 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Jan 8, 2018 Accepting new patients
Family Care Centers Inc. CurrentSince Dec 9, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Jan 8, 2018 Accepting new patients
Allergy & Asthma Specialists PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

14351 Kutztown Rd
Fleetwood, PA 19522
Phone (610) 944-8800

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: kristie.conradpac.p1@direct.allergyasthmaspec.nextgenshare.com
  • Direct secure messaging: conrad.kristie.027.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: kconrad1160200@direct2.lvhn.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1043433014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14351 KUTZTOWN RD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195229273",
            "telephone_number": "610-944-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Sentry Pkwy E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194222332",
            "country_code": "US",
            "telephone_number": "800-999-1249",
            "fax_number": "855-656-7325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "KRISTIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051325",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "FIZZ",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fleetwood, PA

Sources for this page

Verify at the official NPI Registry.