Individual provider Active NPI

Krystal M. Thomas, PA-C

  • Physician Assistant
  • Sellersville, PA
National Provider Identifier
1285922492
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054981 Issued in PA
Practice address
4 Life Mark Dr
Sellersville, PA 18960-1577
Phone
(215) 453-4026
Fax
(215) 453-4719
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054981 PA Primary

Addresses

Primary practice location

4 Life Mark Dr
Sellersville, PA 18960-1577

Mailing address

PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5296

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
I20110829000574 PA Practitioner - Physician Assistant 5092985119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Cancer Specialists P.C.Group PAC ID 7214194091, 44 clinicians

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd
Suite 135
Langhorne, PA 19047-1212
Phone (215) 750-5050

1311 Bristol Pike
Suite 100
Bensalem, PA 19020-6455
Phone (215) 645-1740

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology-Oncology Group, P.C. Current Accepting new patients
Alliance Cancer Specialists CurrentSince Nov 4, 2025 Accepting new patients
Greater Phila Cancer & Hematology Specialists PC Current Accepting new patients
Via Affiliates CurrentSince Mar 1, 2020 Accepting new patients
Alliance Cancer Specialists P.C. CurrentSince Nov 4, 2025 Accepting new patients
Via Affiliates CurrentSince Mar 1, 2020 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant Past Accepting new patients
Dennis James Bonner, M.D., LTD PastSince Mar 13, 1998 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant Past Accepting new patients

Locations

1311 Bristol Pike
Ste 100
Bensalem, PA 19020
Phone (215) 645-1740

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

4259 W Swamp Rd
Ste 108
Doylestown, PA 18902
Phone (215) 862-8363

1203 Langhorne Newtown Rd
Ste 135
Langhorne, PA 19047
Phone (215) 612-5250

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1285922492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "267-370-5296",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LIFE MARK DR",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601577",
            "telephone_number": "215-453-4026",
            "fax_number": "215-453-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KRYSTAL",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.