Active NPI
Ann Marie Krul, PA
- Physician Assistant
- Boca Raton, FL
National Provider Identifier
1174720700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113717
- Practice address
- 701 NW 13TH St FL 2
Boca Raton, FL 33486-2305 - Phone
- (561) 955-6400
- Fax
- (561) 955-6618
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003582 | MI | |
| Physician Assistant | 363A00000X | PA9113717 | FL | Primary |
Addresses
Primary practice location
701 NW 13TH St FL 2
Boca Raton, FL 33486-2305
Mailing address
6282 Linton Blvd
Delray Beach, FL 33484-6416
Phone (561) 955-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113717 | FL | MD | Physician Assistant |
| 5601003582 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Option Medical Associates, P.C. | Past | Accepting new patients | |
| The Center for Hematology Oncology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Delray Beach, FL
- NPI 1861441420
-
- Family Medicine Physician
- Dearborn Heights, MI
- NPI 1437275765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1174720700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6282 LINTON BLVD",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846416",
"telephone_number": "561-955-6400",
"fax_number": "561-955-6618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 NW 13TH ST FL 2",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862305",
"telephone_number": "561-955-6400",
"fax_number": "561-955-6618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUL",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003582",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.