Kristen Marie Grippe, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA052303 Issued in PA

Practice address

132 Mechanic St
Spartansburg, PA 16434

Phone

(814) 654-7334

Fax

(814) 654-6867

NPI assigned

Jan 27, 2012

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 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kristengrippepa@spartansburg.medentdirect.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.

• Dermatology Assoc of Erie

  • Dermatology Physician
  • Erie, PA
  • NPI 1821099623
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1710259403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MECHANIC ST",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "16434",
            "telephone_number": "814-654-7334",
            "fax_number": "814-654-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MECHANIC ST",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "16434",
            "telephone_number": "814-654-7334",
            "fax_number": "814-654-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIPPE",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carriage House Medical Specialties
• Constance S Coverdale, LPN
• Carrie L English, CRNP
• Eric Fuss, PA-C
• Amy Marie Gray, LPC
• Daniel S Hensler, D.C.
• Wendelin Jaworski, CRNP
• John E Balmer Jr. DO
• Kayla King, NTP
• Jennifer L. Schoch, CRNP

• All providers in Spartansburg, PA
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.