NPIMap

Individual provider Active NPI

Kristen Maritato, PA-C

  • Medical Physician Assistant
  • Scranton, PA
National Provider Identifier
1225466899
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056515 Issued in PA
Practice address
1789 N Keyser Ave
Suite B
Scranton, PA 18508-1250
Phone
(570) 969-1904
NPI assigned
Oct 17, 2013
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 MA056515 PA Primary

Addresses

Primary practice location

1789 N Keyser Ave
Suite B
Scranton, PA 18508-1250

Mailing address

1789 N Keyser Ave
Suite B
Scranton, PA 18508-1250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.maritato.1@21771.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140715001181 PA Practitioner - Physician Assistant 4789809302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1789 N Keyser Ave
Scranton, PA 18508-1250
Phone (570) 558-8660

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC CurrentSince Jan 29, 2019 Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

1789 N Keyser Ave
Scranton, PA 18508
Phone (570) 969-1904

1789 N Keyser Ave
Ste B
Scranton, PA 18508
Phone (570) 969-1904

Interoperability endpoints

  • Direct secure messaging: kristen.maritato.1@21771.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1225466899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 N KEYSER AVE",
            "address_2": "SUITE B",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 N KEYSER AVE",
            "address_2": "SUITE B",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081250",
            "telephone_number": "570-969-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARITATO",
        "first_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.maritato.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1789 N Keyser Ave",
            "address_2": "Suite B",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185081250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.