Active NPI
Crystal A. De Wit, DO
- Pain Medicine (Anesthesiology) Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 3780
- 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, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preston Memorial Hospital Corporation | Current | Accepting new patients | |
| Advanced Pain Medicine PC | Current | Accepting new patients | |
| Punxsutawney Area Hospital Inc | Current | Accepting new patients | |
| Punxsutawney Area Hospital Inc | Current | Accepting new patients | |
| Punxsutawney Area Hospital Inc. | Current | Accepting new patients | |
| West Virginia Emergency Physicians, LLP | Emergency Medicine | Current | 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 | Past | 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
- 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.
-
- Critical Access Hospital
- Kingwood, WV
- NPI 1013950054
-
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1952776379
-
- General Acute Care Hospital
- Punxsutawney, PA
- NPI 1265449870
-
- Pain Medicine (Anesthesiology) Physician
- Gibsonia, PA
- NPI 1609170034
WV
-
dba Punxsutawney Area Hospital Rural Health Clinic
- Rural Health Clinic/Center
- Punxsutawney, PA
- NPI 1528775269
-
- Medicare Defined Swing Bed Hospital Unit
- Punxsutawney, PA
- NPI 1861509267
-
- Emergency Medicine Physician
- Kingwood, WV
- NPI 1841230661
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Pittsburgh, PA
- NPI 1336324045
-
- Certified Registered Nurse Anesthetist
- Pittsburgh, PA
- NPI 1730126632
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Pittsburgh, PA
- NPI 1386639847
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.