Ivana Jillian Creisstoff, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA066354 Issued in PA

Practice address

5325 Northgate Dr Ste 200
Bethlehem, PA 18017-9413

Phone

(484) 222-4646

NPI assigned

Nov 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Rothman Orthopaedics of Florida,PLLC

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1669086872
  Medicare reassignment
• Rothman Orthopaedics of Florida,PLLC

  • Prosthetic/Orthotic Supplier
  • Winter Park, FL
  • NPI 1891371779
  NPD
• Orthopedic Specialty Clinic LTD

  • Orthopaedic Surgery Physician
  • Fredericksburg, VA
  • NPI 1295766376
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1467118117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179413",
            "telephone_number": "484-222-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR STE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179413",
            "telephone_number": "484-222-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9530 Cosner Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224087760",
            "country_code": "US",
            "telephone_number": "540-361-1830",
            "fax_number": "540-361-4968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Wellford St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013176",
            "country_code": "US",
            "telephone_number": "540-361-1830",
            "fax_number": "540-361-4968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREISSTOFF",
        "first_name": "IVANA",
        "middle_name": "JILLIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0110-008207",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Wilson Crafts, MD
• Judith Cramer, RN
• David Howard Crastnopol, MD
• Creative Solutions Counseling LLC
• Creative Treatment Solutions
• Joan Crete, NP
• Lauren Noel Creyer, PAC
• Eric Michael Cross, PA-C
• Kaela L Crotts
• Olivia R Crouch, PA-C

• Physician Assistant in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.