NPIMap

Individual provider Active NPI

Kristina A Sivak, PA

  • Medical Physician Assistant
  • Erie, PA
National Provider Identifier
1952373649
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA003301L Issued in PA
Practice address
120 E 2ND St FL 2
Erie, PA 16507-1579
Phone
(814) 456-8980
Fax
(814) 451-0443
NPI assigned
Feb 6, 2006
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA003301L PA Primary

Addresses

Primary practice location

120 E 2ND St FL 2
Erie, PA 16507-1579

Mailing address

120 E 2ND St FL 2
Erie, PA 16507-1579
Phone (814) 456-8980

Other practice location 1

4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-8585

Other practice location 2

1885 Market St
Warren, PA 16365-1277
Phone (814) 456-8980

Other identifiers 1

IdentifierTypeStateIssuer
00026853903OtherNYUNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000225 PA Practitioner - Physician Assistant 0143283846 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
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)

120 E 2ND St
Erie, PA 16507-1537

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

4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-8585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.54 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA003301LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital Past Accepting new patients
Warren General Hospital PastSince Apr 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristina.sivak@upmcdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1952373649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071579",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071579",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4372 Route 6",
            "address_purpose": "LOCATION",
            "city": "Kane",
            "state": "PA",
            "postal_code": "167353060",
            "country_code": "US",
            "telephone_number": "814-837-8585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1885 Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163651277",
            "country_code": "US",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVAK",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003301L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026853903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.