ETHAN HALL CRISPELL MD
NPI 1215728241
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Q: What is Ethan Crispell's NPI number?

The NPI number for Ethan Crispell is 1215728241. It was assigned to this individual provider in the NPPES registry on May 17, 2025.

Q: What is Ethan Crispell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Crispell was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2025PECOS Enrolled

3471 5TH AVE STE 402, PITTSBURGH, PA 15213(412) 692-4563 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, May 17, 2025 (2 updates tracked since 2025).

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About Ethan Hall Crispell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN HALL CRISPELL MD (NPI 1215728241) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215728241

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameETHAN HALL CRISPELLCredential: MD

Location Address3471 5TH AVE STE 402Pittsburgh, PA 15213-3221

Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410

Phone(412) 692-4563

Sole ProprietorNo

Enumeration DateMay 17, 2025

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1215728241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3471 5TH AVE STE 402, Pittsburgh, PA 15213

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Hall Crispell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARFO NANA ASIEDU MD

Pain Medicine (Interventional Pain Medicine)