Katlynn Crossley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5967 Tipperary MNR
Clarence Center, NY 14032-9509

Phone

(716) 628-2800

NPI assigned

Aug 6, 2025

Last updated

Aug 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southgate Medical Group LLPGroup PAC ID 7911810189, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southgate Medical Group,LLP

  • Internal Medicine Physician
  • West Seneca, NY
  • NPI 1487611927
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1407731748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5967 TIPPERARY MNR",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329509",
            "telephone_number": "716-628-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5967 TIPPERARY MNR",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329509",
            "telephone_number": "716-628-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLEY",
        "first_name": "KATLYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Braunscheidel
• Bristol Village, Inc.
• Lindsay Ann Caron, PT, DPT
• Mary Chameli
• Clarence Center Family Dental PLLC
• James Czajkowski, RPH.
• Danielle Christine Destefano, D.P.T.
• Kathryn Emily Dinunzio, SLP
• Zahra Fayzi
• Heidi Fischer, LMT

• Physician Assistant in Clarence Center, NY
• Providers in Clarence Center, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.

Verify at the official NPI Registry.