Individual provider Active NPI

Kristina Mazur, PA-C

  • Physician Assistant
  • Abington, PA
National Provider Identifier
1184089039
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005208 Issued in PA
Practice address
938 Old York Rd
Abington, PA 19001-4703
Phone
(267) 620-0237
NPI assigned
Dec 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058055 PA
Physician Assistant 363A00000X OA005208 PA Primary

Addresses

Primary practice location

938 Old York Rd
Abington, PA 19001-4703

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

3701 Corriere Rd
Easton, PA 18045-7991
Phone (484) 591-7010

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
I20160210000200 PA Practitioner - Physician Assistant 4486958527 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

3626 St Rd
Bensalem, PA 19020-1507
Phone (267) 763-3626

4190 City Ave
Suite 101
Philadelphia, PA 19131-1627
Phone (215) 857-5300

599 E Lancaster Ave
St Davids, PA 19087-5109
Phone (484) 254-4984

6060 Ridge Ave
Suite 100
Philadelphia, PA 19128-1659
Phone (215) 999-6060

920 Dekalb Pike
Suite 100
Blue Bell, PA 19422-1810
Phone (267) 289-1770

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Quakertown Hospital CurrentSince Nov 11, 2018 Accepting new patients
St. Luke'S Hosptial CurrentSince Nov 11, 2018 Accepting new patients
St Luke'S Hospital CurrentSince Nov 11, 2018 Accepting new patients
St. Luke'S Hospital CurrentSince Nov 11, 2018 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Nov 11, 2018 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Nov 11, 2018 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Nov 11, 2018 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Nov 11, 2018 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 11, 2018 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: kristina.mazur.1@14965.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1184089039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014703",
            "telephone_number": "267-620-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Corriere Rd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180457991",
            "country_code": "US",
            "telephone_number": "484-591-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "KRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-19",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058055",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.