Active NPI
Kristen M. Hatfield, PA-C
- Surgical Physician Assistant
- Sayre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MA054821
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 888-5858
- Fax
- (570) 887-2079
- NPI assigned
- Oct 6, 2008
- Last updated
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50.002815 | OH | |
| Surgical Physician Assistant | 363AS0400X | MA054821 | PA | Primary |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
1 Guthrie Square
4 Blue General Surgery Guthrie Clinic
Sayre, PA 18840-1625
Phone (570) 888-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03326170 | Medicaid | NY |
Other names 1
- Kristen M. Bissonette
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
110 Plaza LN
Wellsboro, PA 16901-1773
Phone (570) 724-4241
317 W Lockhart St
Surgery
Sayre, PA 18840-1618
Phone (570) 887-3920
One Guthrie SQ
Sayre, PA 18840-1625
One Guthrie Square
Sayre, PA 18840-1625
Rte 6
Farm and Home Plaza
Wyalusing, PA 18853-0700
Phone (570) 746-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002815 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
1 Guthrie Sq
#4
Sayre, PA 18840
317 W Lockhart St
Sayre, PA 18840
Phone (570) 887-3920
Interoperability endpoints
- khatfield24711@direct-guthrie.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Surgery Physician
- Sayre, PA
- NPI 1083666275
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Orthopaedic Surgery Physician
- Sayre, PA
- NPI 1851343206
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sayre, PA
- NPI 1083614382
-
dba Robert Packer Hospital, Towanda Campus
- General Acute Care Hospital
- Towanda, PA
- NPI 1134734528
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1265683502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQUARE",
"address_2": "4 BLUE GENERAL SURGERY GUTHRIE CLINIC",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-6666",
"fax_number": "570-887-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858",
"fax_number": "570-887-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATFIELD",
"first_name": "KRISTEN",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-06",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.002815",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA054821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03326170",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BISSONETTE",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.