Individual provider Active NPI

Crystal M Trasoline, PA-C

  • Medical Physician Assistant
  • Greensburg, PA
National Provider Identifier
1821318395
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050990 Issued in PA
Practice address
Medmark Treatment Centers
1037 Compas Circle
Greensburg, PA 15601
Phone
(724) 834-1144
NPI assigned
Jun 8, 2010
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 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 OA000948 PA
Medical Physician Assistant 363AM0700X MA050990 PA Primary

Addresses

Primary practice location

Medmark Treatment Centers
1037 Compas Circle
Greensburg, PA 15601

Mailing address

Medmark Treatment Centers
1037 Compass Circle
Greensburg, PA 15601
Phone (724) 834-1144

Other names 1

  • Crystal M Byerly 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
I20040517000389 PA Practitioner - Physician Assistant 9931199437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alepix Behavioral Clinic Professional CorporationGroup PAC ID 8820401896, 21 clinicians

Practice addresses (Care Compare)

25 N Thompson LN
Suite E
Irwin, PA 15642-9305
Phone (724) 382-4941

27 N Thompson LN
Suite B
Irwin, PA 15642-9305
Phone (724) 382-4941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA000948PAMDPhysician Assistant
MA050990PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Joint Medical Group, P.C. Medical Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1821318395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDMARK TREATMENT CENTERS",
            "address_2": "1037 COMPASS CIRCLE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-834-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDMARK TREATMENT CENTERS",
            "address_2": "1037 COMPAS CIRCLE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-834-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRASOLINE",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000948",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BYERLY",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.