Individual provider Active NPI

Steven John Krozer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1073060737
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20465 Issued in SC
Practice address
124 Mallard St
Greenville, SC 29601-4046
Phone
(203) 814-0769
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20465 SC Primary
Registered Nurse 163W00000X 231858 SC

Addresses

Primary practice location

124 Mallard St
Greenville, SC 29601-4046

Mailing address

65 Century Cir
Apartment 150K
Greenville, SC 29607-1596
Phone (203) 814-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20161214000826 SC Practitioner - Nurse Practitioner 8527348325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Itrust Wellness GroupGroup PAC ID 0648532028, 18 clinicians

Practice addresses (Care Compare)

1 Havenwood LN
Travelers Rest, SC 29690-9680
Phone (864) 834-8013

149 Commons Way
Greenville, SC 29611-3850
Phone (864) 520-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231858SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Itrust Wellness Group Therapeutics CurrentSince Nov 29, 2020 Accepting new patients
Itrust Cares LLC Psychiatric/Mental Health CurrentSince Sep 13, 2022 Accepting new patients
Chestnut Hill Mental Health Center, Inc CurrentSince Feb 24, 2018 Accepting new patients
Itrust Wellness Group Psychiatric/Mental Health CurrentSince Mar 10, 2017 Accepting new patients
Chestnut Hill Mental Health Center, Inc. CurrentSince Feb 24, 2018 Accepting new patients

Locations

117 Commons Way
Greenville, SC 29611
Phone (303) 667-6742

121 Commons Way
Greenville, SC 29611

127 Commons Way
Greenville, SC 29611
Phone (864) 416-4560

149 Commons Way
Greenville, SC 29611

765 Haywood Rd
Ste I
Greenville, SC 29607

865 Old Clemson Hwy
Seneca, SC 29672

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

Organizations & group practices 5

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1073060737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CENTURY CIR",
            "address_2": "APARTMENT 150K",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071596",
            "telephone_number": "203-814-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MALLARD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014046",
            "telephone_number": "203-814-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROZER",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "20465",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "231858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.