Active NPI
Krystal Alcott, PA-C
- Medical Physician Assistant
- Greenbelt, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C07542
- Practice address
- 7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250 - Phone
- (301) 486-4690
- NPI assigned
- Oct 3, 2017
- Last updated
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 9110801 | FL | |
| Medical Physician Assistant | 363AM0700X | C07542 | MD | Primary |
Addresses
Primary practice location
7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250
Mailing address
7474 Greenway Center Dr Ste 900
Greenbelt, MD 20770-3504
Phone (301) 982-2000
Other practice location 1
503 Cynwood Dr Ste 4
Easton, MD 21601-3869
Phone (301) 486-4690
Other practice location 2
1900 N Mills Ave
Orlando, FL 32803-1444
Phone (407) 894-4880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6323 Georgia Ave NW
Suite 207
Washington, DC 20011-1137
Phone (202) 539-4334
6830 Hospital Dr
Suite 110
Rosedale, MD 21237-4375
Phone (202) 539-4334
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.13 of 100
- Quality
- 90.26
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9110801 | FL | MD | Cardiovascular Disease Physician |
| C07542 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVM of Michigan PLLC | Current | Accepting new patients | |
| Alchemy Vein Specialists | Current | Accepting new patients | |
| Center for Vascular Medicine NJ, LLC | Past | Accepting new patients | |
| Baltimore County Mental Health Associates LLC | Past | Accepting new patients | |
| Allcare Ga PC | Past | Accepting new patients |
Locations
6323 Georgia Ave NW
Ste 207
Washington, DC 20011
Phone (202) 539-4334
7300 Hanover Dr
Ste 104
Greenbelt, MD 20770
Phone (301) 982-2000
7474 Greenway Center Dr
Ste 900
Greenbelt, MD 20770
6830 Hospital Dr
Ste 110
Rosedale, MD 21237
Phone (202) 539-4334
6801 Allen Rd
Allen Park, MI 48101
Phone (313) 382-3400
22720 Michigan Ave
Ste 300
Dearborn, MI 48124
Phone (313) 791-3000
Interoperability endpoints
- krystal.alcott.p4@direct.cvm-usa.nextgenshare.com
Organizations & group practices 9
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.
-
- Specialist
- Greenbelt, MD
- NPI 1386935781
-
dba MedStar PromptCare
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
dba MedStar PromptCare-Wheaton
- Urgent Care Clinic/Center
- Wheaton, MD
- NPI 1871843409
DC
-
- Vascular Surgery Physician
- Allen Park, MI
- NPI 1487285227
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rosedale, MD
- NPI 1518557529
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1972080554
-
- Vascular Surgery Physician
- Chester, NJ
- NPI 1144761685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1982114047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 900",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703504",
"telephone_number": "301-982-2000",
"fax_number": "301-982-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 HANOVER DR STE 104",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702250",
"telephone_number": "301-486-4690"
}
],
"practiceLocations": [
{
"address_1": "503 Cynwood Dr Ste 4",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "MD",
"postal_code": "216013869",
"country_code": "US",
"telephone_number": "301-486-4690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 N Mills Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328031444",
"country_code": "US",
"telephone_number": "407-894-4880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALCOTT",
"first_name": "KRYSTAL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "9110801",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C07542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.