Individual provider Active NPI

Crystal A. De Wit, DO

  • Pain Medicine (Anesthesiology) Physician
  • Bridgeport, WV
National Provider Identifier
1114980406
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
3780 Issued in WV
Practice address
527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Phone
(681) 342-3600
NPI assigned
Apr 9, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 3780 WV
Pain Medicine (Anesthesiology) Physician 207LP2900X 3780 WV Primary
Emergency Medicine Physician 207P00000X 3780 WV
Family Medicine Physician 207Q00000X 3780 WV

Addresses

Primary practice location

527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010

Mailing address

12 Ashbury LN
Fairmont, WV 26554-3473
Phone (412) 303-0494

Other practice location 1

12 Ashbury Ln
Fairmont, WV 26554-3473
Phone (412) 303-0494

Other practice location 2

140 Middletown Road
Whitehall, WV 26554
Phone (304) 333-1150

Other practice location 3

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Other practice location 4

230 Hospital Plz
Weston, WV 26452-8558
Phone (304) 269-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051107000616 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163440306 Reassigns benefits to 1 organization
I20230524002619 WV Practitioner - Pain ManagementPractitioner - Emergency MedicinePractitioner - Family Practice 2163440306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Mon Health Medical Park Dr
Suite 2200
Morgantown, WV 26505-1168
Phone (304) 843-7246

511 Burroughs St
Suite 101
Morgantown, WV 26505-3389
Phone (304) 843-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Memorial Hospital Corporation CurrentSince Dec 20, 2025 Accepting new patients
Advanced Pain Medicine PC CurrentSince Apr 1, 2025 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince May 1, 2015 Accepting new patients
Punxsutawney Area Hospital Inc. CurrentSince May 1, 2015 Accepting new patients
West Virginia Emergency Physicians, LLP Emergency Medicine CurrentSince Mar 26, 2023 Accepting new patients
McCandless Endoscopy Center, LLC Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Pain Medicine Past Accepting new patients
Steel City Anesthesia, LLC Nurse Anesthetist, Certified Registered PastSince Mar 1, 2005 Accepting new patients
Preston Memorial Hospital Corporation Anesthesiology Past Accepting new patients

Locations

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

7000 Stonewood Dr
Ste 151
Wexford, PA 15090
Phone (412) 851-8844

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

3000 Mon Health Medical Park Dr
Ste 3202
Morgantown, WV 26505

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1114980406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ASHBURY LN",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543473",
            "telephone_number": "412-303-0494",
            "fax_number": "412-487-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 500",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309010",
            "telephone_number": "681-342-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Ashbury Ln",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265543473",
            "country_code": "US",
            "telephone_number": "412-303-0494",
            "fax_number": "412-487-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Middletown Road",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "WV",
            "postal_code": "26554",
            "country_code": "US",
            "telephone_number": "304-333-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371141",
            "country_code": "US",
            "telephone_number": "304-329-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528558",
            "country_code": "US",
            "telephone_number": "304-269-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE WIT",
        "first_name": "CRYSTAL",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "3780",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WV",
            "license": "3780",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3780",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.