Active NPI
Crystal L Fowler, PA-C
- Medical Physician Assistant
- Coudersport, PA
National Provider Identifier
1275634909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA051431
- Practice address
- 1001 E 2ND St
Coudersport, PA 16915-8161 - Phone
- (814) 274-5276
- Fax
- (814) 274-4848
- NPI assigned
- Sep 26, 2006
- Last updated
- Feb 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA051431 | PA | Primary |
Addresses
Primary practice location
1001 E 2ND St
Coudersport, PA 16915-8161
Mailing address
1001 E 2ND St
Coudersport, PA 16915-8161
Phone (814) 274-5276
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crystal.l.fowler@upmcdirect.com | Direct | Charles Cole Memorial Hospital |
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E 2ND St
Coudersport, PA 16915-8161
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.69 of 100
- Quality
- 75.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Cole Memorial D/B/a Upmc Cole | Current | Accepting new patients |
Locations
1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407
71 Elk St
Coudersport, PA 16915
Phone (814) 274-5577
Organizations & group practices 2
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.
-
dba UPMC Cole
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
-
- Ambulatory Surgical Clinic/Center
- Coudersport, PA
- NPI 1619008554
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Coudersport, PA
- NPI 1619008554
Hospital
-
dba UPMC Cole
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
-
dba Family Hospice
- Community Based Hospice Care Agency
- Williamsport, PA
- NPI 1134614621
-
dba Susquehanna Home Care and Hospice Services
- Home Health Agency
- Williamsport, PA
- NPI 1881189256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1275634909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E 2ND ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169158161",
"telephone_number": "814-274-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E 2ND ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169158161",
"telephone_number": "814-274-5276",
"fax_number": "814-274-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "CRYSTAL",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA051431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crystal.l.fowler@upmcdirect.com",
"affiliation": "Y",
"endpointDescription": "UPMC Cole",
"affiliationName": "Charles Cole Memorial Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1001 E 2nd St",
"city": "Coudersport",
"state": "PA",
"country_code": "US",
"postal_code": "169158161",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Coudersport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.