KRISTIN A TYSON PA
NPI 1639440548
Physician Assistant - Medical in Allentown, PA

NPI Status: Active since January 24, 2012

Contact Information

1611 POND RD
STE 401
ALLENTOWN, PA
ZIP 18104
Phone: (610) 398-7700
Fax: (610) 398-6917

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  • Individual
  • Female
  • Years of Experience 15
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KRISTIN TYSON

This page provides the complete NPI Profile along with additional information for Kristin Tyson, a primary care provider established in Allentown, Pennsylvania with a medical specialization in Physician Assistant, focusing in medical and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1639440548 assigned on January 2012. The practitioner's primary taxonomy code is 363AM0700X with license number MA055148 (PA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1639440548
Provider Name
KRISTIN A TYSON PA
Other Name
KRISTIN A LIEW
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1611 POND RD STE 401 ALLENTOWN, PA 18104
Location Phone
(610) 398-7700
Location Fax
(610) 398-6917
Mailing Address
PO BOX 783311 PHILADELPHIA, PA 19178
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
01-24-2012
Last Update Date
12-23-2015
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A primary care provider (PCP) like Kristin Tyson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
MA055148
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kristin Tyson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kristin Tyson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3577720234

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120208000145

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 26 times for 26 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 16 times for 16 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kristin Tyson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST LUKE'S HOSPITAL BETHLEHEM801 OSTRUM STREET
BETHLEHEM, PA 18015
(610) 954-4000Acute Care Hospitals
LEHIGH VALLEY HOSPITAL1200 SOUTH CEDAR CREST BOULEVARD
ALLENTOWN, PA 18103
(610) 402-8000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639440548, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 8 + 4 + 0 + 5 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1639440548.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
1611 POND RD, SUITE 400
ALLENTOWN, PA 18104
Ophthalmology
1611 POND RD, STE 403
ALLENTOWN, PA 18104
Physician Assistant
1611 POND RD, SUITE 101
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104
Pediatrics
1611 POND RD
ALLENTOWN, PA 18104
Obstetrics & Gynecology (Gynecology)
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 102
ALLENTOWN, PA 18104
Clinic/Center (Medical Specialty)
1611 POND RD, STE 101
ALLENTOWN, PA 18104
Eyewear Supplier
1611 POND RD, SUITE 403
ALLENTOWN, PA 18104
Clinic/Center (Medical Specialty)
1611 POND RD, SUITE 101
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 102
ALLENTOWN, PA 18104
Clinic/Center (Endoscopy)
1611 POND RD
ALLENTOWN, PA 18104
Clinic/Center (Medical Specialty)
1611 POND RD, SUITE 101
ALLENTOWN, PA 18104
Pediatrics
1611 POND RD, SUITE 400
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104
Pediatrics
1611 POND RD, SUITE 400
ALLENTOWN, PA 18104
Obstetrics & Gynecology
1611 POND RD, SUITE 401
ALLENTOWN, PA 18104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639440548, enumerated as an "individual" on January 24, 2012.

The provider is located at 1611 POND RD STE 401 ALLENTOWN, PA 18104 and the phone number is (610) 398-7700.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Kristin Tyson is affiliated with: ST LUKE'S HOSPITAL BETHLEHEM and LEHIGH VALLEY HOSPITAL.