Krystal Alcott, PA-C
Individual provider Active NPI Medical Physician Assistant · Greenbelt, MD
NPI 1982114047 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1982114047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C07542 (MD)
- Practice address
- 7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250 - Phone
- (301) 486-4690
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in DC, MD, IN, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9110801 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alchemy Vein Specialists | Current |
Accepting new patients | |
| CVM of Michigan PLLC | Current |
Accepting new patients | |
| Medstar Urgent Care, LLC | Current |
Accepting new patients | |
| Baltimore County Mental Health Associates LLC | Past |
Accepting new patients | |
| Allcare Ga PC | Past | Accepting new patients | |
| Center for Vascular Medicine NJ, LLC | Past | Accepting new patients |
Locations
6323 Georgia Ave NW
Ste 207
Washington, DC 20011
Phone (202) 539-4334
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
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
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 9110801 | FL | |
| Medical Physician Assistant | 363AM0700X | C07542 | MD | Yes |
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
1900 N Mills Ave
Orlando, FL 32803-1444
Phone (407) 894-4880
Other practice location 2
503 Cynwood Dr Ste 4
Easton, MD 21601-3869
Phone (301) 486-4690
Other providers in Greenbelt, MD
- Mary Ndip Akonjang
- Christine Akpan
- Maurine E Akwi
- Althea Alabanzas
- Olabisi Alabi
- Aled Healthcare LLC
- Aleem a. Iqbal, M.D.,P.a
- Emebet Alemayehu
- Ntongwah Derrick Alemnji
- Polachirackal K Alex
All providers in Greenbelt, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.