Individual provider Active NPI

Kristin B Siemon, PA-C

  • Physician Assistant
  • Clairton, PA
National Provider Identifier
1871596940
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050991 Issued in PA
Practice address
575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740
Phone
(412) 267-6360
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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 MA050991 PA Primary

Addresses

Primary practice location

575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740

Mailing address

575 Coal Valley Rd Ste 464
Clairton, PA 15025-3740
Phone (412) 267-6360

Other identifiers 1

IdentifierTypeStateIssuer
11938577OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksiemon134787@direct.ahn.org

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
I20040302000544 PA Practitioner - Physician Assistant 4284521501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

401 E Murphy Ave
Wvu Heart and Vascular Inst Connesv
Connellsville, PA 15425-2724
Phone (844) 424-0413

419 Coyle Curtain Rd
Monongahela, PA 15063-3515
Phone (724) 912-7536

500 W Berkeley St
Uniontown Hospital
Uniontown, PA 15401-5514
Phone (724) 430-5000

Hospital & facility affiliations

  • Uniontown Hospital Hospital, Uniontown, PA, CCN 390041

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA050991PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Mar 4, 2024 Accepting new patients
Allegheny Clinic CurrentSince Apr 27, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Mar 4, 2024 Accepting new patients
Allegheny Clinic CurrentSince Apr 27, 2022 Accepting new patients
Pittsburgh Bone and Joint Surgeons Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

495 E Waterfront Dr
Ste 200
Homestead, PA 15120
Phone (412) 326-0330

575 Coal Valley Rd
Ste 464
Jefferson Hills, PA 15025
Phone (412) 267-6360

1200 Brooks Ln
Ste G20
Jefferson Hls, PA 15025
Phone (412) 267-5040

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

Organizations & group practices 6

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 5

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1871596940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 464",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253740",
            "telephone_number": "412-267-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 464",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253740",
            "telephone_number": "412-267-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMON",
        "first_name": "KRISTIN",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11938577",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksiemon134787@direct.ahn.org",
            "affiliation": "N",
            "address_1": "575 Coal Valley Rd Ste 464",
            "city": "Clairton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

Verify at the official NPI Registry.