Individual provider Active NPI

Krystal Alcott, PA-C

  • Medical Physician Assistant
  • Greenbelt, MD
National Provider Identifier
1982114047
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C07542 Issued in MD
Practice address
7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250
Phone
(301) 486-4690
NPI assigned
Oct 3, 2017
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200810002881 DC Practitioner - Physician Assistant 1658507413 Reassigns benefits to 3 organizations
I20200810002956 MD Practitioner - Physician Assistant 1658507413 Reassigns benefits to 3 organizations
I20210506001180 IN Practitioner - Physician Assistant 1658507413
I20210825002393 IL Practitioner - Physician Assistant 1658507413

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9110801FLMDCardiovascular Disease Physician
C07542MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CVM of Michigan PLLC CurrentSince Feb 4, 2021 Accepting new patients
Alchemy Vein Specialists CurrentSince Aug 1, 2025 Accepting new patients
Center for Vascular Medicine NJ, LLC Past Accepting new patients
Baltimore County Mental Health Associates LLC PastSince Nov 12, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.