MRS. NICOLE KRYSTOFF (PA-C) – Physician Assistant, NPI 1508861923

MRS. NICOLE KRYSTOFF (PA-C) is a healthcare provider. based in Erie, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA052073 (PA). The NPI Number for MRS. NICOLE KRYSTOFF (PA-C) is 1508861923

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE KRYSTOFF (PA-C)
NPI
1508861923
Phone
(814) 877-5401
Address
3910 CAUGHEY RD STE 150
Enumeration Date
14 June 2005
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
0244271161
Group Practice PAC ID
4880593722
Professional Enrollment ID
I20050520000049
Address ID
PA165064041ER3910XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
nkrystoff191811@direct.ahn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for MRS. NICOLE KRYSTOFF (PA-C)

  • 3910 CAUGHEY RD STE 150

    ERIE, PA 165064041

    Phone: (814) 877-5401

    Fax: (814) 877-5400

    Type: Mailing

  • 247, Morewood Avenue, Bloomfield, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    PITTSBURGH, PA 152131861

    Phone: (412) 622-0920

    Type: Mailing

  • 200, Myrtle Street, West Bayfront, Erie, Erie County, Pennsylvania, 16507, United States

    ERIE, PA 165022700

    Phone: (814) 452-7822

    Fax: (814) 452-7842

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-08-31 • Largest payer in this snapshot: Novo Nordisk Inc ($247).

Total Amount

$489

General + Research + Ownership

Payments

8

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050520000049IPhysician AssistantPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2928$0
99214Established patient office or other outpatient visit, 30-39 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 16506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880593722View full group profile
NameSpecialtyState
Family Practice, Emergency MedicinePA
-PA
-PA
Diagnostic RadiologyPA
-PA
Nurse PractitionerPA
-PA
Diagnostic RadiologyNV
-PA
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

Where can patients find MRS. NICOLE KRYSTOFF (PA-C)'s NPI?
You can confirm MRS. NICOLE KRYSTOFF (PA-C) with NPI 1508861923; it appears in the national provider directory.
Is MRS. NICOLE KRYSTOFF (PA-C) currently active in the NPI registry?
CMS-published data lists MRS. NICOLE KRYSTOFF (PA-C) as an active registrant.
Does MRS. NICOLE KRYSTOFF (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MRS. NICOLE KRYSTOFF (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for MRS. NICOLE KRYSTOFF (PA-C)?
We surface Erie, Pennsylvania for MRS. NICOLE KRYSTOFF (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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