Individual provider Active NPI

Alexandra Kristobak, PA-C

  • Physician Assistant
  • Wexford, PA
National Provider Identifier
1245614775
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-16627 Issued in NC
Practice address
12311 Perry Hwy
Wexford, PA 15090-8344
Phone
(878) 332-4240
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 MA057633 PA
Physician Assistant 363A00000X 0010-16627 NC Primary
Medical Physician Assistant 363AM0700X MA057633 PA

Addresses

Primary practice location

12311 Perry Hwy
Wexford, PA 15090-8344

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 488-5358

Other practice location 1

1301 Carlisle St
Natrona Heights, PA 15065
Phone (412) 330-4363

Other practice location 2

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akristobak174733@direct.ahn.org

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
I20150911001466 PA Practitioner - Physician Assistant 8022325893 Reassigns benefits to 4 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
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

4 Allegheny Ctr
FL 8
Pittsburgh, PA 15212-5255
Phone (412) 330-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057633PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jun 16, 2018 Accepting new patients
Allegheny Clinic CurrentSince Jun 16, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Physician Assistant CurrentSince Aug 15, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 18, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 18, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

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

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

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

490 E North Ave
Ste 500
Pittsburgh, PA 15212
Phone (412) 359-3895

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

1405 Shady Ave
Squirrel Hill, PA 15217
Phone (412) 420-2400

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Interoperability endpoints

  • Direct secure messaging: akristobak174733@direct.ahn.org

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1245614775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "980-488-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "878-332-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Carlisle St",
            "address_purpose": "LOCATION",
            "city": "Natrona Heights",
            "state": "PA",
            "postal_code": "15065",
            "country_code": "US",
            "telephone_number": "412-330-4363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISTOBAK",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057633",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16627",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akristobak174733@direct.ahn.org",
            "affiliation": "N",
            "address_1": "12311 Perry Hwy",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150908344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.