Individual provider Active NPI

Maggie Jane Croyle, PA-C

  • Medical Physician Assistant
  • Kittanning, PA
National Provider Identifier
1174294250
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063033 Issued in PA
Practice address
1 Nolte Drive Ext
Kittanning, PA 16201-7143
Phone
(724) 543-8500
NPI assigned
Sep 28, 2021
Last updated
Oct 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA063033 PA Primary

Addresses

Primary practice location

1 Nolte Drive Ext
Kittanning, PA 16201-7143

Mailing address

128 Harrison St Apt a
Kittanning, PA 16201-2150
Phone (724) 664-2342

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
I20211207000429 PA Practitioner - Physician Assistant 3072903079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny Clinic Medical OncologyGroup PAC ID 9739077561, 97 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8657

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.53 of 100Reported as group
Quality
73.42
Promoting interoperability
100
Improvement activities
40
Cost
47.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Armstrong County Memorial Hospital CurrentSince Dec 1, 2021 Accepting new patients
Armstrong County Memorial Hospital CurrentSince Dec 1, 2021 Accepting new patients
Armstrong County Memorial Hospital Past Accepting new patients

Locations

1 Nolte Dr
Ste 120
Kittanning, PA 16201
Phone (724) 543-8164

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

Interoperability endpoints

  • Direct secure messaging: mcroyle887881@direct.ahn.org

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

Hospital & facility affiliations 10

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1174294250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HARRISON ST APT A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012150",
            "telephone_number": "724-664-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DRIVE EXT",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017143",
            "telephone_number": "724-543-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROYLE",
        "first_name": "MAGGIE",
        "middle_name": "JANE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.