Individual provider Active NPI

Megan Elizabeth Crissman, PA-C

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1982114310
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OA004258 Issued in PA
Practice address
7171 Churchland St
Pittsburgh, PA 15206-1217
Phone
(412) 361-8284
Fax
(412) 361-8286
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA059298 PA
Family Medicine Physician 207Q00000X OA004258 PA Primary

Addresses

Primary practice location

7171 Churchland St
Pittsburgh, PA 15206-1217

Mailing address

2127 Richardsville Rd
Brookville, PA 15825-7327
Phone (814) 715-4122

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023000172 PA Practitioner - Physician Assistant 3072969427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Liberty Family Health Care Center IncGroup PAC ID 2163496084, 20 clinicians

Practice addresses (Care Compare)

6023 Harvard St
Pittsburgh, PA 15206-3053
Phone (412) 661-2802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059298PAMDFamily Medicine Physician
OA004258PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Liberty Family Health Care Center, Inc. CurrentSince Sep 5, 2023 Accepting new patients
East Liberty Family Health Care Center, Inc. Past Accepting new patients
East Liberty Family Health Care Center, Inc. Past Accepting new patients
East Liberty Family Health Care Center Past Accepting new patients

Locations

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

7171 Churchland St
Pittsburgh, PA 15206
Phone (412) 361-8284

6023 Harvard St
Pittsburgh, PA 15206
Phone (412) 661-2802

6023 Harvard St
Ste 2
Pittsburgh, PA 15206

1425 Forbes Ave
Fl 2
Pittsburgh, PA 15219
Phone (412) 303-2754

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHGBA
  • Direct secure messaging: megan.crissman@elfhcc.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1982114310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 RICHARDSVILLE RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158257327",
            "telephone_number": "814-715-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-361-8284",
            "fax_number": "412-361-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISSMAN",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA059298",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OA004258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.