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

Individual provider Physician Assistant · NPI 1609386101

Kristie Summus, PA-C is a Physician Assistant in West Islip, New York. Qualified in 2017, 9 years ago. Practices with Ny Society for the Relief of Ruptured and Crippled Maintaining, a 175-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone: (516) 312-9942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609386101
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESOctober 10, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ny Society For The Relief Of Ruptured And Crippled Maintaining — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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