Individual provider Active NPI

Krysten Leeann Richardson, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Florence, AL
National Provider Identifier
1801381645
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1346 Issued in AL
Practice address
1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone
(256) 718-3200
Fax
(256) 246-3297
NPI assigned
Jun 25, 2018
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3576 TN
Medical Physician Assistant 363AM0700X 1346 AL Primary

Addresses

Primary practice location

1751 Veterans Dr Ste 300
Florence, AL 35630-4930

Mailing address

1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone (256) 718-3200

Other practice location 1

104 Physicians Dr Ste C
Muscle Shoals, AL 35661-2100
Phone (256) 718-3200

Other identifiers 2

IdentifierTypeStateIssuer
Q037209MedicaidTN
267297MedicaidAL

Other names 1

  • Miss Krysten Leeann Crosslin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190529002184 AL Practitioner - Physician Assistant 7214287721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama Bone and Joint Clinic P CGroup PAC ID 6901881879, 18 clinicians

Practice addresses (Care Compare)

104 Physicians Dr
Suite C
Muscle Shoals, AL 35661-2100
Phone (256) 246-3490

1751 Veterans Dr
Suite 300
Florence, AL 35630-4930
Phone (256) 718-3200

1910 Veterans Dr
Florence, AL 35630-4933
Phone (256) 718-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1346ALMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Bone & Joint Clinic P C CurrentSince May 17, 2021 Accepting new patients

Locations

1751 Veterans Dr
Ste 300
Florence, AL 35630
Phone (256) 718-3200

104 Physicians Dr
Ste C
Muscle Shoals, AL 35661
Phone (256) 246-3490

Interoperability endpoints

  • Direct secure messaging: krysten.richardson@nabjc.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1801381645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Physicians Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612100",
            "country_code": "US",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KRYSTEN",
        "middle_name": "LEEANN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3576",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "1346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q037209",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267297",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTEN",
            "last_name": "CROSSLIN",
            "middle_name": "LEEANN",
            "prefix": "MISS",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.