Individual provider Active NPI

Laurel L Krupski, PA

  • Physician Assistant
  • Twin Falls, ID
National Provider Identifier
1164617791
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA919 Issued in ID
Practice address
1139 Falls Ave E
Ste a
Twin Falls, ID 83301-3463
Phone
(208) 825-7546
Fax
(877) 294-9892
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA919 ID Primary

Addresses

Primary practice location

1139 Falls Ave E
Ste a
Twin Falls, ID 83301-3463

Mailing address

1139 Falls Ave E
Ste a
Twin Falls, ID 83301-3463
Phone (208) 825-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111019000955 ID Practitioner - Physician Assistant 1951573765 Reassigns benefits to 1 organization
I20210325000533 UT Practitioner - Physician Assistant 1951573765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1139 Falls Ave E
Suite a
Twin Falls, ID 83301-3463
Phone (208) 825-7546

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA919IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Skin Institute LLC Dermatology PastSince Aug 1, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: krupski21@woseth.emadirect.md
  • Direct secure messaging: lkrupski@twinfallsderm.emadirect.md

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1164617791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 FALLS AVE E",
            "address_2": "STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013463",
            "telephone_number": "208-825-7546",
            "fax_number": "877-294-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 FALLS AVE E",
            "address_2": "STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013463",
            "telephone_number": "208-825-7546",
            "fax_number": "877-294-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPSKI",
        "first_name": "LAUREL",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.