Kristy L. Tully, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051438 Issued in PA

Practice address

144 Emeryville Dr
Suite 110
Cranberry TWP, PA 16066-5015

Phone

(724) 776-2111

Fax

(724) 776-2199

NPI assigned

Sep 2, 2006

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

Other names 1

• Kristy L. Lasko Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

83.75 of 100Reported as group

Quality

70.53

Promoting interoperability

100

Improvement activities

40

Cost

75.31

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristy.l.tully@upmcdirect.com

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.

• Renaissance Orthopaedics, P.C.

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
  • NPI 1790886083
  Medicare reassignment
• Upmc Community Medicine, Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1558976092
  Medicare reassignment
• Upmc Community Medcine Inc

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD
• Upmc Community Medicine Inc

  • Pulmonary Disease Physician
  • Pittsburgh, PA
  • NPI 1891105052
  NPD
• Upmc Community Medicine Inc

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1588622294
  NPD (past)
• Upmc Magee-Womens Hospital

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
  • NPI 1043278757
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558463265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 EMERYVILLE DR",
            "address_2": "SUITE 110",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665015",
            "telephone_number": "724-776-2111",
            "fax_number": "724-776-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 EMERYVILLE DR",
            "address_2": "SUITE 110",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665015",
            "telephone_number": "724-776-2111",
            "fax_number": "724-776-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "KRISTY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "LASKO",
            "middle_name": "L.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eva Toth, MD
• Francesca Travanti
• Tri-State Medical Group, Inc
• Laura Nicole Troxell
• Matthew Trozzo
• Upmc
• Upmc Community Medicine Inc
• Christina Van Patter, LCSW
• Lauren Vance, PA-C
• Marissa Vetica

• Physician Assistant in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.