Individual provider Active NPI

Sierra Taylor Chrostowski, PA-C

  • Medical Physician Assistant
  • Orlando, FL
National Provider Identifier
1235612888
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17406 Issued in TX
Practice address
501 E King St
Orlando, FL 32803-1205
Phone
(407) 303-1558
NPI assigned
Sep 10, 2018
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA9111543 FL
Medical Physician Assistant 363AM0700X PA17406 TX Primary

Addresses

Primary practice location

501 E King St
Orlando, FL 32803-1205

Mailing address

1121 Trappers Trail Loop
Champions Gate, FL 33896-7960
Phone (727) 457-1932

Other identifiers 1

IdentifierTypeStateIssuer
108520600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200929001932 FL Practitioner - Physician Assistant 8729407572 Reassigns benefits to 2 organizations
I20231218000275 TX Practitioner - Physician Assistant 8729407572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
US Neuroscience Institute PLLCGroup PAC ID 7416334412, 6 clinicians

Practice addresses (Care Compare)

1521 S Staples St
Suite 403
Corpus Christi, TX 78404-3183
Phone (361) 356-1447

533 Pecan Blvd
McAllen, TX 78501-2356
Phone (956) 215-7558

5711 McPherson Rd
Suite 100
Laredo, TX 78041-6838
Phone (956) 462-5328

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Pediatrics LLC Medical PastSince Apr 25, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19494/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFJICD/Endpoint/IFJICD

Organizations & group practices 4

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 2

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1235612888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 TRAPPERS TRAIL LOOP",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338967960",
            "telephone_number": "727-457-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E KING ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031205",
            "telephone_number": "407-303-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHROSTOWSKI",
        "first_name": "SIERRA",
        "middle_name": "TAYLOR",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111543",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108520600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.