Individual provider Active NPI

Kristen Mary Thompson, PA-C

  • Surgical Physician Assistant
  • Clairton, PA
National Provider Identifier
1760509129
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA051845 Issued in PA
Practice address
575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740
Phone
(412) 267-6360
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA051845 PA Primary

Addresses

Primary practice location

575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740

Mailing address

575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740
Phone (412) 267-6360

Other identifiers 1

IdentifierTypeStateIssuer
15428167OtherCAQH

Other names 1

  • Kristen Mary Kartychak Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090709000475 PA Practitioner - Physician Assistant 2062564842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1001 9TH Ave
Brackenridge, PA 15014-1107
Phone (412) 359-8850

232 W 25TH St
Ahn Neurology
Erie, PA 16544-0002
Phone (412) 359-8850

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

575 Coal Valley Rd
Suite 105
Clairton, PA 15025-3723
Phone (412) 359-8900

575 Coal Valley Rd
Suite 209
Clairton, PA 15025-3724
Phone (412) 267-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA051845PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jun 24, 2024 Accepting new patients
Allegheny Clinic CurrentSince Jun 24, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 6, 2010 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 6, 2010 Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

575 Coal Valley Rd
Ste 464
Jefferson Hills, PA 15025
Phone (412) 267-6360

200 Lothrop St
Ste B400
Pittsburgh, PA 15213
Phone (412) 647-3685

3705 Desoto St
Pittsburgh, PA 15213
Phone (412) 692-5260

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: kthompson912146@direct.ahn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1760509129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 464",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253740",
            "telephone_number": "412-267-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 464",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253740",
            "telephone_number": "412-267-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTEN",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA051845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15428167",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KARTYCHAK",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clairton, PA

Sources for this page

Verify at the official NPI Registry.