Krystal Abucevicz-Swick, CRNP
Individual provider Active NPI Nurse Practitioner · Cumberland, MD
NPI 1750867362 · NPPES record last updated Apr 7, 2022
Key facts
- NPI
- 1750867362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AC002862 (MD)
- Practice address
- 12502 Willowbrook Rd
Cumberland, MD 21502-6491 - Phone
- (240) 964-8787
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Potomac Valley Hospital of W VA , Inc
Specialty Physicians of Garrett County, LLC
Practice addresses (Care Compare)
100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500
375 Pythian Ave
Oakland, MD 21550-5111
Phone (301) 334-4565
Hospital & facility affiliations
- Potomac Valley Hospital
- Garrett Regional Medical Center
- Western Maryland Regional Medical Center
- Grant Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181031002178 | MD | Practitioner - Nurse Practitioner | 5496008815 | Reassigns benefits to 2 organizations |
| I20220106001579 | WV | Practitioner - Nurse Practitioner | 5496008815 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current |
Accepting new patients | |
| Upmc Western Maryland Corporation | Nurse Practitioner | Current | Accepting new patients |
| Specialty Physicians of Garrett County, LLC | Current |
Accepting new patients | |
| Potomac Valley Hospital of WV, Inc. | Current |
Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current |
Accepting new patients | |
| Upmc Western Maryland Corporation | Current |
Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Family | Current |
Accepting new patients |
| Upmc Western Maryland Corporation | Past | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Past | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Past |
Accepting new patients | |
| Potomac Valley Hospital of W VA, Inc | Past | Accepting new patients |
Locations
12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288
375 Pythian Ave
Oakland, MD 21550
Phone (301) 334-0585
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
10261 Frankfort Hwy
Fort Ashby, WV 26719
Phone (304) 597-3600
100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790
100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500
Interoperability endpoints
- kabuceviczswick321211@direct.wvuhsdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AC002862 | MD | Yes |
Addresses
Primary practice location
12502 Willowbrook Rd
Cumberland, MD 21502-6491
Mailing address
PO Box 1671
Cumberland, MD 21501-1671
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kabuceviczswick321211@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Other providers in Cumberland, MD
- A G Medical, LLC
- A Sivan Pillai MD PA
- Kim Abe
- Alivia Brooke Absher
- Achd-Family Planning
- Achd-Infant & Toddler
- Achd-Ma Personal Care Program
- Christopher David Ackerman
- Acorn Addiction Services
All providers in Cumberland, MD · Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.