Individual provider Active NPI

Krystle Kane, MSPA-C

  • Physician Assistant
  • Pottsville, PA
National Provider Identifier
1851370209
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052319 Issued in PA
Practice address
700 Schuylkill Manor Rd Ste 5
Pottsville, PA 17901-3849
Phone
(570) 622-6804
Fax
(570) 622-3385
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052319 PA Primary

Addresses

Primary practice location

700 Schuylkill Manor Rd Ste 5
Pottsville, PA 17901-3849

Mailing address

1259 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-6206
Phone (610) 437-4134

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkane@adaltd.emadirect.md

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
I20051216000026 PA Practitioner - Physician Assistant 2668493792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology Associates, LTD.Group PAC ID 0244138972, 18 clinicians

Practice addresses (Care Compare)

1259 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-6373
Phone (610) 437-4134

236 Brodhead Rd
Bethlehem, PA 18017-8937
Phone (610) 437-4134

700 Schuylkill Manor Rd
Suite 5
Pottsville, PA 17901-3849
Phone (570) 622-6804

Merit-based Incentive Payment System (MIPS)

Final score
93.03 of 100Reported as group
Quality
93.26
Promoting interoperability
92
Improvement activities
40
Cost
90.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA052319PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: kkane@adaltd.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1851370209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036206",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SCHUYLKILL MANOR RD STE 5",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013849",
            "telephone_number": "570-622-6804",
            "fax_number": "570-622-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "KRYSTLE",
        "name_prefix": "Mrs.",
        "credential": "MSPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkane@adaltd.emadirect.md",
            "affiliation": "N",
            "address_1": "700 Schuylkill Manor Rd Ste 5",
            "city": "Pottsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179013849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.