Individual provider Active NPI

Nancy A Krywonis, M.D.

  • Dermatology Physician
  • Denver, CO
National Provider Identifier
1134260466
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
44212 Issued in CO
Practice address
4545 E 9TH Ave
Suite 420
Denver, CO 80220-3901
Phone
(303) 586-7768
Fax
(303) 957-3098
NPI assigned
Feb 9, 2007
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 44212 CO Primary

Addresses

Primary practice location

4545 E 9TH Ave
Suite 420
Denver, CO 80220-3901

Mailing address

7300 Ranch Road 2222, Building 1, Ste 200
Austin, TX 78730
Phone (512) 628-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 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
I20070802000076 CO Practitioner - Dermatology 2062454663 Reassigns benefits to 1 organization
I20210907002721 AZ Practitioner - Dermatology 2062454663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Manitoba, Faculty of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Colorado LLCGroup PAC ID 8921354341, 18 clinicians
Epiphany Dermatology of Arizona LLCGroup PAC ID 9830181361, 26 clinicians

Practice addresses (Care Compare)

3773 E Cherry Creek N Dr
Suite 970
Denver, CO 80209-9809
Phone (303) 388-5629

613 25 Rd
Grand Junction, CO 81505-1590
Phone (970) 245-1500

6648 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 886-8151

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
86.61

Merit-based Incentive Payment System (MIPS)

Final score
82.18 of 100Reported as group
Quality
65.23
Promoting interoperability
100
Improvement activities
40
Cost
75.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions237
Removal or shaving of skin growth1-10
Skin biopsy71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44212COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Dermatologists Group LLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Epiphany Dermatology of Arizona, LLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Epiphany Dermatology of Colorado, LLC Dermatology CurrentSince Jul 1, 2020 Accepting new patients
J. Michael Maloney MD, PC Dermatology Past Accepting new patients

Locations

7767 W Deer Valley Rd
Ste 140
Peoria, AZ 85382
Phone (623) 487-3003

6648 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 886-8151

3773 E Cherry Creek North Dr
Ste 970
Denver, CO 80209
Phone (303) 388-5629

4545 E 9th Ave
Ste 420
Denver, CO 80220
Phone (303) 320-2121

613 25 Rd
Grand Junction, CO 81505
Phone (303) 388-5629

6601 Vaught Ranch Rd
Ste 200
Austin, TX 78730
Phone (575) 640-6306

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

7300 Ranch Road 2222
Bldg 1-200
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: nancy.krywonis@epiphanyderm.emadirect.md

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1134260466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BUILDING 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "512-628-0465",
            "fax_number": "512-233-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "SUITE 420",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203901",
            "telephone_number": "303-586-7768",
            "fax_number": "303-957-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYWONIS",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "44212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.