Individual provider Active NPI

Kary Ann Krochko, APRN

  • Family Nurse Practitioner
  • Orange, CT
National Provider Identifier
1295904225
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2465 Issued in CT
Practice address
240 Indian River Rd Ste A8
Orange, CT 06477-3690
Phone
(475) 882-6824
NPI assigned
Feb 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X R47926 CT
Critical Care Medicine Nurse Practitioner 363LC0200X 002465 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 002465 CT
Primary Care Nurse Practitioner 363LP2300X 002465 CT
Family Nurse Practitioner 363LF0000X 2465 CT Primary

Addresses

Primary practice location

240 Indian River Rd Ste A8
Orange, CT 06477-3690

Mailing address

240 Indian River Rd Ste A8
Orange, CT 06477-3690
Phone (475) 882-6824

Other practice location 1

710 Main St Bldg 4
Plantsville, CT 06479-1567
Phone (860) 378-2891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20041022000220 CT Practitioner - Nurse Practitioner 2163483298 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Solutions Pain Management Clinic LLCGroup PAC ID 8628392693, 4 clinicians
Smpsychotherapy and Counseling Services, LLCGroup PAC ID 5193264604, 4 clinicians

Practice addresses (Care Compare)

236 Boston Post Rd
Orange, CT 06477-3236

83 Wooster HTS
Suite 125
Danbury, CT 06810-7550
Phone (203) 800-9778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2465CTMDProfessional Counselor
002465CTMDOptometrist
R47926CTMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Waterbury, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Comprehensive Neurology and Pain Center of Connecticut, LLC CurrentSince Sep 1, 2020 Accepting new patients
Cardiology Associates of Greater Waterbury LLC CurrentSince Mar 14, 2016 Accepting new patients
Connecticut Mental Health Specialists Inc Psychiatric/Mental Health CurrentSince Aug 4, 2017 Accepting new patients
Feel Well Health Center of Southington, P.C. CurrentSince Nov 27, 2016 Accepting new patients
Medoptions Behavioral Health Assoc, LLC Past Accepting new patients
Bridgeport Hospital Past Accepting new patients

Locations

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

710 Main St
Bldg 4
Plantsville, CT 06479
Phone (860) 378-2811

67 Masonic Ave
Ste 2400
Wallingford, CT 06492
Phone (203) 284-3159

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

455 Chase Pkwy
Waterbury, CT 06708
Phone (203) 573-1435

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1203811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1295904225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD STE A8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773690",
            "telephone_number": "475-882-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD STE A8",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773690",
            "telephone_number": "475-882-6824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Main St Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Plantsville",
            "state": "CT",
            "postal_code": "064791567",
            "country_code": "US",
            "telephone_number": "860-378-2891",
            "fax_number": "860-378-2894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROCHKO",
        "first_name": "KARY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-24",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CT",
            "license": "R47926",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "CT",
            "license": "002465",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002465",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "002465",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "2465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.