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MS. ENTELA A KRISTO PA-C
NPI 1225302854
Physician Assistant in Newark, DE

Active since February 29, 2012PECOS EnrolledAccepts Medicare Assignment
CHRISTIANA HOSPITAL, DEPARTMENT OF SURGERY, 4755 OGLETOWN STANTON ROAD, NEWARK, DE 19718(302) 733-3475(302) 325-7056 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Entela A Kristo Pa-c NPPES

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

MS. ENTELA A KRISTO PA-C (NPI 1225302854) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C50000835) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1225302854
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. ENTELA A KRISTOCredential: PA-C
Location AddressCHRISTIANA HOSPITAL, DEPARTMENT OF SURGERY, 4755 OGLETOWN STANTON ROADNewark, DE 19718-2200
Mailing AddressCchs Physician Contracting, Suite 2300, 200 Hygeia DriveNewark, DE 19713-2049
Phone(302) 733-3475
Fax(302) 325-7056
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 29, 2012
Last NPPES UpdateNovember 15, 2017
✔ NPI 1225302854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in DE · C50000835✔ Licensed in PA · MA055416
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
CHRISTIANA HOSPITAL, DEPARTMENT OF SURGERY, Newark, DE 19718
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Other Names 1

Former Name (1)Entela Cani

Other Identifiers 1

Medicare PIN334558XDK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Entela A Kristo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880854827
PECOS Enrollment IDI20171214002025
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
199 services146 patients
Simple change of bladder tube 51705
A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
27 services13 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CAITLIN E CAMPBELL PA-C
Physician Assistant
CHRISTIANA HOSPITAL, DEPARTMENT OF SURGERY, 4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
New Castle County (302) 733-2438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Entela Kristo's NPI number?

The NPI number for Entela Kristo is 1225302854. It was assigned to this individual provider in the NPPES registry on February 29, 2012. The provider is also known as Entela Cani.

Where is Entela Kristo located?

Entela Kristo practices at Christiana Hospital, Department Of Surgery 4755 Ogletown Stanton Road, Newark, DE 19718. The listed phone number is (302) 733-3475.

What is Entela Kristo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Entela Kristo enrolled in Medicare?

Yes. Entela Kristo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Entela Kristo accept?

Health plans from AmeriHealth Caritas Next list Entela Kristo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Entela Kristo was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.