NPIMap

Organization Active NPI

Krupnick Healthcare, LLC

Doing business as Krupnick Enhanced Medical Care

  • Primary Care Clinic/Center
  • Prescott, AZ
National Provider Identifier
1154868867
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
42104 Issued in AZ
Legal business name
KRUPNICK HEALTHCARE, LLC
Doing business as
Krupnick Enhanced Medical Care
Practice address
5327 Crescent Edge Dr
Prescott, AZ 86301-0105
Phone
(928) 899-6919
Fax
(928) 277-1627
NPI assigned
Jan 20, 2017
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Kurt Andrew Krupnick, M.DNPI 1700836129
Title
Owner/Provider
Phone
(928) 899-6919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 42104 AZ Primary

Addresses

Primary practice location

5327 Crescent Edge Dr
Prescott, AZ 86301-0105

Mailing address

5327 Crescent Edge Dr
Prescott, AZ 86301-0105
Phone (928) 899-6919

Other names 1

  • Krupnick Enhanced Medical Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170303002023 AZ Part B Supplier - Clinic/Group Practice 7911281266 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

3181 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 227-2796

3181 Clearwater Dr
Prescott, AZ 86305

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154868867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 CRESCENT EDGE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863010105",
            "telephone_number": "928-899-6919",
            "fax_number": "928-277-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 CRESCENT EDGE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863010105",
            "telephone_number": "928-899-6919",
            "fax_number": "928-277-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUPNICK HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRUPNICK",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "928-899-6919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "42104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krupnick Enhanced Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.