Kathryn Connelly Crumbley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-11532 Issued in NC

Practice address

11 Falcon Crest LN
Clyde, NC 28721-6620

Phone

(828) 565-0560

NPI assigned

Mar 21, 2018

Last updated

Jun 14, 2024By the provider in NPPES

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 NC

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Laurel Dermatology PLLCGroup PAC ID 4486873098, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
• Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.39 of 100Reported as apm

Quality

77.7

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kcc@mtnlaurelderm.emadirect.md

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.

• Mountain Laurel Dermatology, PLLC

  • Dermatology Physician
  • Asheville, NC
  • NPI 1013329929
  Medicare reassignment Care Compare group
• Mountain Laurel Dermatology, PLLC

  • Dermatology Physician
  • Clyde, NC
  • NPI 1700298635
  NPD

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

• DLP Haywood Regional Medical Center LLC.

  dba Haywood Regional Medical Center

  • General Acute Care Hospital
  • Clyde, NC
  • NPI 1811158215
  Care Compare affiliation
• MH Mission Hospital, LLLP

  dba Mission Hospital

  • General Acute Care Hospital
  • Asheville, NC
  • NPI 1962987677
  Care Compare affiliation

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1790289015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FALCON CREST LN",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287216620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FALCON CREST LN",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287216620",
            "telephone_number": "828-565-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBLEY",
        "first_name": "KATHRYN",
        "middle_name": "CONNELLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Foxon Crain, MSW, LCSW, LCAS
• Terri Linn Cranfield, MD
• Leroy S Crapanzano Jr., D.D.S.
• Steven Snowden Crider, MD
• Ariel Ryan Crimmins
• Jennifer L Cunningham, M.D.
• Jennifer Anna Curvin, PTA
• D. Duncan Sumpter, P.C. (Appalachian Community Services, Inc)
• Kaitlynn Dacey
• Timothy P. Dailey, LPC

• Physician Assistant in Clyde, NC
• Providers in Clyde, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.

Verify at the official NPI Registry.