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MR. KEVIN THOMAS MCCRYSTAL PAC
NPI 1730287350
Physician Assistant - Medical in Wethersfield, CT

Active since September 20, 2006PECOS Enrolled
93.24/100
CMS Quality Rating
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 276-5208 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kevin Thomas Mccrystal Pac NPPES

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

MR. KEVIN THOMAS MCCRYSTAL PAC (NPI 1730287350) is an individual medical provider in Wethersfield, Connecticut, licensed in Connecticut (001356) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1730287350
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KEVIN THOMAS MCCRYSTALCredential: PAC
Location Address1290 SILAS DEANE HWYWethersfield, CT 06109-4337
Mailing Address1290 Silas Deane Hwy Ste 102bWethersfield, CT 06109-4337
Phone(860) 276-5208
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1730287350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 001356
1290 SILAS DEANE HWY, Wethersfield, CT 06109
Open in Google Maps ↗

Secondary Practice Location 1

Location 180 Seymour St, Cardiology DeptHartford, CT 06102-8000 · Phone (860) 972-2795

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Thomas Mccrystal Pac 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.98
Improvement Activities40

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.

CHELSEY PAHOLSKI GAVELEK PA-C
Physician Assistant (Medical)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 972-6977
LYNNE M WHITNEY APRN
Nurse Practitioner (Adult Health)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 972-6977
HARTFORD HEALTHCARE MEDICAL GROUP, INC
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 972-9033
ZACHARY F DANSSAERT
Pain Medicine (Pain Medicine)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (858) 342-4833
DR. EMILY PAMELA STANFORD DO
Internal Medicine
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 679-2000
DR. KATA BES PHARMD
Pharmacist (Ambulatory Care)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (959) 261-3835
DR. JAMES EDWARD BABOWICE DO
Surgery (Trauma Surgery)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 972-9033
MR. BRANDON TIBBITTS PA-C
Physician Assistant
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 777-1280

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 Kevin Mccrystal's NPI number?

The NPI number for Kevin Mccrystal is 1730287350. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kevin Mccrystal located?

Kevin Mccrystal practices at 1290 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 276-5208.

What is Kevin Mccrystal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Mccrystal enrolled in Medicare?

Yes. Kevin Mccrystal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Mccrystal was last updated on October 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.