Krysta Lin Paciocco, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704272375 Issued in MI

Practice address

13400 W Outer Dr
Detroit, MI 48239-1309

Phone

(313) 324-8180

Fax

(313) 324-8186

NPI assigned

Apr 30, 2019

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Project Healthy Community

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1114761988
  Medicare reassignment NPD
• Advanced Womens Health

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1144300989
  NPD (past)
• C&L PLLC

  dba Advanced Women's Health

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1326525635
  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1033773478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391309",
            "telephone_number": "313-324-8180",
            "fax_number": "313-324-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391309",
            "telephone_number": "313-324-8180",
            "fax_number": "313-324-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIOCCO",
        "first_name": "KRYSTA",
        "middle_name": "LIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704272375",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60909562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Rocha Pacheco, DDS, MSC, PHD
• Douglas Arthur Pacholke III, CRNA
• Kristin Pacholke
• Rhea Paciente
• Danielle Kardynski Pacifici, CRNA
• Packard Group II, Inc.
• Packard Group Inc
• Ranjitha Rai Padhiar, B.D.S, M.D.S
• Ramesh Padiyar, M.D.
• Destiny L Page

• Family Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.