Individual provider Active NPI

Krista Marie Rubosky, PA-C

  • Physician Assistant
  • Holland, OH
National Provider Identifier
1578805602
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003759RX Issued in OH
Practice address
6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374
Phone
(218) 438-0283
Fax
(513) 823-3247
NPI assigned
Mar 27, 2013
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003759 OH
Physician Assistant 363A00000X 50.003759RX OH Primary
Medical Physician Assistant 363AM0700X 50.003759RX OH

Addresses

Primary practice location

6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374

Mailing address

6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374
Phone (218) 438-0283

Other practice location 1

550 W Chalmers Ave
Youngstown, OH 44511-1576
Phone (330) 797-0070

Other practice location 2

320 High St NE
Warren, OH 44481-1222
Phone (330) 797-0070

Other practice location 3

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other practice location 4

1950 Niles Cortland Rd NE Ste 11
Warren, OH 44484-1077
Phone (330) 797-0070

Other identifiers 1

IdentifierTypeStateIssuer
0156697MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20210816001572 OH Practitioner - Physician Assistant 2668696873 Reassigns benefits to 1 organization
I20251008003694 NJ Practitioner - Physician Assistant 2668696873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Workit Health Oh LLCGroup PAC ID 1557788197, 10 clinicians

Practice addresses (Care Compare)

6855 Spring Valley Dr
Suite 110
Holland, OH 43528-9374
Phone (216) 438-0283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.003759OHMDPhysician Assistant
50.003759RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health NJ LLC CurrentSince Sep 1, 2025 Accepting new patients
David J Corallo PastSince Jul 1, 2001 Accepting new patients

Locations

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2325/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1578805602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 SPRING VALLEY DR STE 110",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289374",
            "telephone_number": "218-438-0283",
            "fax_number": "513-823-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 SPRING VALLEY DR STE 110",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289374",
            "telephone_number": "218-438-0283",
            "fax_number": "513-823-3247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Chalmers Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445111576",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 High St NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444811222",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 N Meridian Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445091227",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Niles Cortland Rd NE Ste 11",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841077",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBOSKY",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003759",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003759RX",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003759RX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.