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MRS. CRYSTAL ROSE PIETRANTON NP-C
NPI 1922451459
Nurse Practitioner - Family in Wheeling, WV

Active since July 20, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL PARK, TOWER 5 6 FLOOR, WHEELING, WV 26003(740) 310-7351 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Crystal Rose Pietranton Np-c NPPES

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

MRS. CRYSTAL ROSE PIETRANTON NP-C (NPI 1922451459) is an individual family provider in Wheeling, West Virginia, licensed in West Virginia (61711) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Barnesville Hospital Association, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922451459
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CRYSTAL ROSE PIETRANTONCredential: NP-C
Location Address1 MEDICAL PARK, TOWER 5 6 FLOORWheeling, WV 26003-6379
Mailing Address1 Medical Park, Tower 5 6 FloorWheeling, WV 26003-6379 · (740) 310-7351
Phone(740) 310-7351
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 20, 2016
✔ NPI 1922451459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 61711
1 MEDICAL PARK, Wheeling, WV 26003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mrs. Crystal Rose Pietranton Np-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 ID1951682103
PECOS Enrollment IDI20161229001208
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 5

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 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.
175 services96 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.
56 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
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.

MOLLY E. FISHER SLP
Speech-Language Pathologist
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
KRISTINA JOHNSON PH.D.
Behavior Analyst
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-1134
MICHAEL GARMAN ATC,PTA
Specialist/Technologist (Athletic Trainer)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
CATHERINE F SANSONE PT
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Ohio County (304) 243-3124
BILLIE J JOHNSTON PT
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Ohio County (304) 243-3124
ANGELA HENNIS
Nurse Practitioner (Family)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
MADELINE F SHIPE CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3343
TERRY L STAKE M.D.
Radiology (Diagnostic Radiology)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3270

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 Pietranton's NPI number?

The NPI number for Crystal Pietranton is 1922451459. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Crystal Pietranton located?

Crystal Pietranton practices at 1 Medical Park Tower 5 6 Floor, Wheeling, WV 26003. The listed phone number is (740) 310-7351.

What is Crystal Pietranton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crystal Pietranton enrolled in Medicare?

Yes. Crystal Pietranton 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 Crystal Pietranton accept?

Health plans from CareSource list Crystal Pietranton 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.

Is Crystal Pietranton affiliated with any hospitals?

According to CMS data, Crystal Pietranton is affiliated with Barnesville Hospital Association, Inc, Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Pietranton was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.