Krystan N. Shimmel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051414 Issued in PA

Practice address

100 Radnor Rd
Ste 101
State College, PA 16801-7986

Phone

(814) 231-7878

Fax

(814) 237-1034

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1922066877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RADNOR RD",
            "address_2": "STE 101",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017986",
            "telephone_number": "814-231-7878",
            "fax_number": "814-237-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RADNOR RD",
            "address_2": "STE 101",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017986",
            "telephone_number": "814-231-7878",
            "fax_number": "814-237-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMMEL",
        "first_name": "KRYSTAN",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA000903",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Cyril Shears, MD
• Corey James Sheehan, PTA
• Rebecca Eileen Sheetz
• Steven Eugene Shephard, LPC , MED, MS
• Paul S Sherbondy, MD
• Stephanie Lee Shingledecker, OTR/L
• Brian W Shippert, D.O.
• Michelle Nicole Stalter Shippert, DO
• Stephen Shoup
• Joanne C Shultz, CRNP

• Physician Assistant in State College, PA
• Providers in State College, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.