Individual provider Active NPI

Kristi Rae Simpson, PA-C

  • Physician Assistant
  • Warren, PA
National Provider Identifier
1104129873
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054535 Issued in PA
Practice address
2 W Crescent Park
Warren, PA 16365-2111
Phone
(814) 723-2686
Fax
(814) 723-0423
NPI assigned
Dec 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA002662 PA
Medical Physician Assistant 363AM0700X 014472-1 NY
Physician Assistant 363A00000X MA054535 PA Primary

Addresses

Primary practice location

2 W Crescent Park
Warren, PA 16365-2111

Mailing address

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-2686

Other names 1

  • Ms. Kristi Rae California Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristicalifornia@wagho.allscriptsdirect.net

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
I20110718000374 PA Practitioner - Physician Assistant 6406038900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Practice addresses (Care Compare)

2 Crescent Park W
Warren, PA 16365-2111

2 W Crescent Park
Warren, PA 16365-2111

2265 Market St
Warren, PA 16365-4682
Phone (814) 757-5860

Hospital & facility affiliations

  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Upmc Kane Hospital, Kane, PA, CCN 391318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014472NYMDSpeech-Language Pathologist
MA054535PAMDPhysician Assistant
014472-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital CurrentSince Jun 27, 2011 Accepting new patients
Warren General Hospital CurrentSince Jun 27, 2011 Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

505 Foote Ave
Jamestown, NY 14701
Phone (716) 483-2285

2 W Crescent Park
Fl 3
Warren, PA 16365
Phone (814) 723-0273

2265 Market St
Ste B
Warren, PA 16365
Phone (814) 726-1122

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212

Interoperability endpoints

  • Direct secure messaging: kristicalifornia@wagho.allscriptsdirect.net
  • Direct secure messaging: kristisimpson@directaddress.net

Organizations & group practices 3

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": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1104129873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-2686",
            "fax_number": "814-723-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-2686",
            "fax_number": "814-723-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "KRISTI",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002662",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014472-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristicalifornia@wagho.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2 W Crescent Park",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163652111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "CALIFORNIA",
            "middle_name": "RAE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.