Individual provider Active NPI

Victoria Crislip, PA-C

  • Physician Assistant
  • Shippenville, PA
National Provider Identifier
1861373474
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA007409 Issued in PA
Practice address
21159 Paint Blvd Ste 2
Shippenville, PA 16254-4023
Phone
(814) 297-5090
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 OA007409 PA Primary

Addresses

Primary practice location

21159 Paint Blvd Ste 2
Shippenville, PA 16254-4023

Mailing address

21159 Paint Blvd Ste 2
Shippenville, PA 16254-4023

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
I20251124003385 PA Practitioner - Physician Assistant 3274025556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA007409PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Nov 10, 2025 Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

21159 Paint Blvd
#2
Shippenville, PA 16254
Phone (814) 226-6770

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.

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": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1861373474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21159 PAINT BLVD STE 2",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162544023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21159 PAINT BLVD STE 2",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162544023",
            "telephone_number": "814-297-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISLIP",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippenville, PA

Sources for this page

Verify at the official NPI Registry.