Active NPI
Krystal Marie Thayer, PA-C
- Physician Assistant
- Jackson, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 500 Burlington Rd
Jackson, OH 45640-9360 - Phone
- (740) 288-4625
- NPI assigned
- Sep 13, 2017
- Last updated
- Nov 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
500 Burlington Rd
Jackson, OH 45640-9360
Mailing address
759 Stewart Ave
Streetsboro, OH 44241-4750
Phone (330) 221-0267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11339 S Pikes Peak Dr
Parker, CO 80138-7333
Phone (720) 588-4000
11551 W Ken Caryl Ave
Littleton, CO 80127-3873
Phone (720) 449-8055
1405 E Evans Ave
Denver, CO 80210-4544
Phone (720) 449-8050
5620 S Parker Rd
Aurora, CO 80015-1110
Phone (720) 446-5890
7600 W Quincy Ave
Littleton, CO 80123-2403
Phone (720) 449-8062
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- Quality
- 68.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs of Colorado Inc | Current | Accepting new patients | |
| Usacs of Colorado, Inc | Current | Accepting new patients | |
| Premier Emergency Services, Inc | Current | Accepting new patients |
Locations
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Greenwood Village, CO
- NPI 1083077051
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1760415871
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1457755688
-
- Emergency Medicine Physician
- Westminster, CO
- NPI 1962037440
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1720614217
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
dba St. Anthony Hospital
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
dba Flight for Life Colorado
- Air Ambulance
- Lakewood, CO
- NPI 1992425854
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1821517574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 STEWART AVE",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442414750",
"telephone_number": "330-221-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BURLINGTON RD",
"city": "JACKSON",
"state": "OH",
"postal_code": "456409360",
"telephone_number": "740-288-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER",
"first_name": "KRYSTAL",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.