Individual provider Active NPI

Crista R Berry, P.A.

  • Surgical Physician Assistant
  • Zanesville, OH
National Provider Identifier
1851671119
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
003313 Issued in OH
Practice address
2854 Bell St
Zanesville, OH 43701-1721
Phone
(740) 454-3273
Fax
(740) 588-1081
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 003313 OH Primary

Addresses

Primary practice location

2854 Bell St
Zanesville, OH 43701-1721

Mailing address

2854 Bell St
Zanesville, OH 43701-1721
Phone (740) 454-3273

Other identifiers 1

IdentifierTypeStateIssuer
0309375MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110914000573 OH Practitioner - Physician Assistant 9739350208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2854 Bell St
Zanesville, OH 43701-1721
Phone (740) 454-3273

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003313OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Nov 1, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Nov 1, 2022 Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

2854 Bell St
Zanesville, OH 43701
Phone (740) 454-3273

Interoperability endpoints

  • Direct secure messaging: crista.berry.p1@direct.beaconortho.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1851671119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011721",
            "telephone_number": "740-454-3273",
            "fax_number": "740-588-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011721",
            "telephone_number": "740-454-3273",
            "fax_number": "740-588-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CRISTA",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "003313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309375",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.