Kristina Marie Brubaker, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OT015249 Issued in PA

Practice address

751 Liberty St
Meadville, PA 16335-2559

Phone

(814) 333-5000

NPI assigned

Jul 3, 2013

Last updated

Jul 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristina Marie Hanslovan Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ahn Emergency Group of Clarion County LTD

  • Emergency Medicine Physician
  • Clarion, PA
  • NPI 1194262980
  Medicare reassignment NPD
• Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1265449870
  Medicare reassignment NPD
• Punxsutawney Area Hospital Inc

  dba Punxsutawney Area Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Punxsutawney, PA
  • NPI 1528775269
  NPD
• Punxsutawney Area Hospital Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Punxsutawney, PA
  • NPI 1861509267
  NPD
• Punxsutawney Area Hosp Em Med Fpa

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1003972415
  NPD (past)

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1962842088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10566 ROUTE 98",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164129743",
            "telephone_number": "814-771-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LIBERTY ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352559",
            "telephone_number": "814-333-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT015249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "HANSLOVAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Autumn Rejoice Bridger, D.O.
• Garrett W. Britton, D.O.
• Alexa Brown, BSN, RN
• Jason W Brown, M.D.
• Regina Beth Brown, MD
• Barbara Ann Bruns, AUD
• Jamie Ruth Bufalino, PHARMD
• Melvin Burger Jr.
• Patricia Ann Bush, H.I.S.
• Brandon Butters, OD

• Family Medicine Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.