Individual provider Active NPI

Kristin Duffy, PA-C

  • Medical Physician Assistant
  • Sellersville, PA
National Provider Identifier
1992015978
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050839 Issued in PA
Practice address
700 Lawn Ave
Sellersville, PA 18960-1548
Phone
(215) 453-4139
Fax
(215) 453-4991
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA050839 PA Primary

Addresses

Primary practice location

700 Lawn Ave
Sellersville, PA 18960-1548

Mailing address

3456 Bethlehem Pike
Souderton, PA 18964-1051
Phone (215) 721-6508

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
I20110114000628 PA Practitioner - Physician Assistant 5799974101 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology-Oncology Associates Current Accepting new patients
Via Affiliates CurrentSince Oct 3, 2018 Accepting new patients
Via Affiliates CurrentSince Oct 3, 2018 Accepting new patients

Locations

595 W State St
Ofc
Doylestown, PA 18901
Phone (215) 345-2372

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

33 W Chester Pike
Ridley Park, PA 19078
Phone (610) 521-2010

Organizations & group practices 4

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": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1992015978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 BETHLEHEM PIKE",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641051",
            "telephone_number": "215-721-6508",
            "fax_number": "215-721-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601548",
            "telephone_number": "215-453-4139",
            "fax_number": "215-453-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "KRISTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.