CRYSTAL LOOSE
NPI 1821406547
Physician Assistant - Surgical in Williamsport, PA

Active since July 25, 2014PECOS EnrolledAccepts Medicare Assignment
81.54/100
CMS Quality Rating
1705 WARREN AVE, SUITE 101103, WILLIAMSPORT, PA 17701(570) 321-2020 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 24, 2021, Aug 18, 2016 (2 updates tracked since 2016).

About Crystal Loose NPPES

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

CRYSTAL LOOSE (NPI 1821406547) is an individual surgical provider in Williamsport, Pennsylvania, licensed in Pennsylvania (MA056962) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821406547
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCRYSTAL LOOSE
Location Address1705 WARREN AVE, SUITE 101103Williamsport, PA 17701-2647
Mailing Address1201 Grampian Blvd, Suite 101103Williamsport, PA 17701-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 25, 2014
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPI 1821406547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in PA · MA056962
1705 WARREN AVE, Williamsport, PA 17701

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

Crystal Loose 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 ID6608192380
PECOS Enrollment IDI20150225000542
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 16

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
802 services179 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.
480 services343 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
292 services238 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
261 services34 patients
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.
206 services194 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
161 services143 patients

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.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.04
Promoting Interoperability100
Improvement Activities40
Cost63.42

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.

Orthopaedic Surgery
1705 WARREN AVE, SUITE 101-103
WILLIAMSPORT, PA 17701
Allergy & Immunology
1705 WARREN AVE, SUITE 201
WILLIAMSPORT, PA 17701
Family Medicine
1705 WARREN AVE, SUITE 303
WILLIAMSPORT, PA 17701
Physical Therapist (Orthopedic)
1705 WARREN AVE
WILLIAMSPORT, PA 17701
Internal Medicine
1705 WARREN AVE
WILLIAMSPORT, PA 17701
Orthopaedic Surgery
1705 WARREN AVE, SUITE 101-103
WILLIAMSPORT, PA 17701
Physician Assistant
1705 WARREN AVE, SUITE 101103
WILLIAMSPORT, PA 17701
Technician/Technologist (Optician)
1705 WARREN AVE
WILLIAMSPORT, PA 17701

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 Crystal Loose's NPI number?

The NPI number for Crystal Loose is 1821406547. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Where is Crystal Loose located?

Crystal Loose practices at 1705 Warren Ave Suite 101103, Williamsport, PA 17701. The listed phone number is (570) 321-2020.

What is Crystal Loose's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Crystal Loose enrolled in Medicare?

Yes. Crystal Loose 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.

When was this NPI record last updated?

The NPPES record for Crystal Loose was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.