Active NPI
Kirstie Barbara Pistner, PA-C
- Medical Physician Assistant
- Dubois, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA060557
- Practice address
- 635 Maple Avenue
Dubois, PA 15801 - Phone
- (814) 375-6379
- NPI assigned
- Feb 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA060557 | PA | |
| Medical Physician Assistant | 363AM0700X | OA004789 | PA | |
| Medical Physician Assistant | 363AM0700X | MA060557 | PA | Primary |
Addresses
Primary practice location
635 Maple Avenue
Dubois, PA 15801
Mailing address
635 Maple Avenue
Dubois, PA 15801
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keystone Rural Health Consortia, Inc.
Practice addresses (Care Compare)
90 E 2ND St
Emporium, PA 15834-1302
Phone (814) 486-1115
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA004789 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyrone Hospital | Current | Accepting new patients | |
| Elk Regional Health Center | Current | Accepting new patients | |
| Dubois Regional Medical Group, PC | Physician Assistant | Current | Accepting new patients |
| Elk Regional Health Center | Physician Assistant | Current | Accepting new patients |
| Dubois Regional Medical Group, PC | Physician Assistant | Current | Accepting new patients |
| Dubois Regional Medical Center | Physician Assistant | Past | Accepting new patients |
| Pinecroft Medical Center | Past | Accepting new patients |
Locations
145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
275 E 4th St
Emporium, PA 15834
Phone (814) 486-6123
120 Spring St
Houtzdale, PA 16651
Phone (814) 497-4297
111 Cobb St
Johnsonburg, PA 15845
Phone (814) 965-2857
763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Du Bois, PA
- NPI 1285728915
Physician Assistant
-
- Multi-Specialty Clinic/Center
- Emporium, PA
- NPI 1952554602
Physician Assistant
-
- Rural Health Clinic/Center
- Tyrone, PA
- NPI 1922429133
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1093956617
Physician Assistant
-
- Long Term Care Pharmacy
- Saint Marys, PA
- NPI 1790570067
-
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
Physician Assistant
-
- Family Medicine Physician
- Altoona, PA
- NPI 1780622621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1770049447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 MAPLE AVENUE",
"city": "DUBOIS",
"state": "PA",
"postal_code": "15801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MAPLE AVENUE",
"city": "DUBOIS",
"state": "PA",
"postal_code": "15801",
"telephone_number": "814-375-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISTNER",
"first_name": "KIRSTIE",
"middle_name": "BARBARA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060557",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "OA004789",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA060557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dubois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.