Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katlynn Crossley, PA-C

Individual provider Physician Assistant · NPI 1407731748

Katlynn Crossley, PA-C is a Physician Assistant in Clarence Center, New York. Qualified in 2025, 1 year ago. Practices with Southgate Medical Group LLP, a 32-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5967 Tipperary Mnr
Clarence Center, NY 14032-9509
Phone: (716) 628-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407731748
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southgate Medical Group Llp — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarence Center