Individual provider Active NPI

Krysten A Carlson, PA-C

  • Medical Physician Assistant
  • Altoona, PA
National Provider Identifier
1184909822
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054934 Issued in PA
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(814) 889-2011
NPI assigned
Oct 13, 2011
Last updated
Jun 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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 MA054934 PA Primary

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2011

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
I20120802000340 PA Practitioner - Physician Assistant 2264688522 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

155 Wellness Way
State College, PA 16803-6702

220 Newry St
Hollidaysburg, PA 16648-1626
Phone (337) 991-9276

526 N Saint Cloud St
Suite 1601
Allentown, PA 18104-5041
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054934PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Apr 13, 2015 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Jan 8, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2020 Accepting new patients
Tyrone Hospital CurrentSince Jun 12, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2020 Accepting new patients
Upmc Altoona CurrentSince Apr 13, 2015 Accepting new patients
Mount Nittany Medical Center Health Services Inc Medical CurrentSince Oct 31, 2021 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Feb 1, 2018 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Jun 30, 2021 Accepting new patients
Tyrone Hospital CurrentSince Jun 12, 2017 Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

1414 9th Ave
#B
Altoona, PA 16602

417 Sabbath Rest Rd
Ste 3
Altoona, PA 16601
Phone (814) 940-8195

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

620 Howard Ave
#302
Altoona, PA 16601
Phone (814) 889-2011

620 Howard Ave
Fl Fifth
Altoona, PA 16601
Phone (814) 889-2223

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

312 Industrial Park Rd
Meyersdale, PA 15552
Phone (814) 534-9123

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 9

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1184909822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-889-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-889-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KRYSTEN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.