Individual provider Active NPI

Kristen Krakovec, MD

  • Family Medicine Physician
  • Creston, IA
National Provider Identifier
1033634407
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-50168 Issued in IA
Practice address
1700 W Townline St
Creston, IA 50801-1054
Phone
(641) 782-2131
Fax
(641) 782-3949
NPI assigned
Aug 7, 2017
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME134954 FL
Family Medicine Physician 207Q00000X MD-50168 IA Primary
Family Medicine Physician 207Q00000X 7501 GA

Addresses

Primary practice location

1700 W Townline St
Creston, IA 50801-1054

Mailing address

1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-2131

Other practice location 1

1700 W Townline St # C
Creston, IA 50801-1054
Phone (641) 782-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181205001534 FL Practitioner - Family Practice 3678817467 Reassigns benefits to 1 organization
I20221031001094 IA Practitioner - Family Practice 3678817467 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Greater Regional Medical Center Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
Greater Regional Medical Center CurrentSince Oct 3, 2022 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910

1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091

1610 W Townline St
Creston, IA 50801
Phone (641) 782-2131

1610 W Townline St
Ste 200
Creston, IA 50801
Phone (515) 782-2131

1700 W Townline St
#C
Creston, IA 50801
Phone (641) 782-2131

Interoperability endpoints

  • Direct secure messaging: kkrakovec909394@direct.unitypoint.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1033634407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-2131",
            "fax_number": "641-782-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Townline St # C",
            "address_purpose": "LOCATION",
            "city": "Creston",
            "state": "IA",
            "postal_code": "508011054",
            "country_code": "US",
            "telephone_number": "641-782-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKOVEC",
        "first_name": "KRISTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME134954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-50168",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "7501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

Verify at the official NPI Registry.