Elena Krivulin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00892800 Issued in NJ

Practice address

99 Hawley LN Ste 1102
Stratford, CT 06614-1204

Phone

(203) 666-8145

NPI assigned

May 15, 2023

Last updated

May 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY, OK, VA, MN, MD, KY, AZ, MA9 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 9

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Topaz Bay Senior Health PCGroup PAC ID 2860906385, 30 clinicians

BC Collective of Ga LLCGroup PAC ID 7214414499, 6 clinicians

BC Collective of NJ LLCGroup PAC ID 0143716472, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Topaz Bay Senior Health PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Hoboken, NJ
  • NPI 1194518134

  KY

  Medicare reassignment Care Compare group NPD
• BC Collective of Ga LLC

  • Clinic/Center
  • Atlanta, GA
  • NPI 1700746237

  MD, NY

  Medicare reassignment Care Compare group
• BC Collective of NJ LLC

  • Clinic/Center
  • Branchburg, NJ
  • NPI 1457211302
  Medicare reassignment Care Compare group
• KJ Medical Practice PC

  dba Elite Healthcare

  • Pediatrics Physician
  • Monroe, NY
  • NPI 1366739088
  Medicare reassignment NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1396436150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HILSINGER RD",
            "address_2": "P.O. BOX 412",
            "city": "MOUNT TABOR",
            "state": "NJ",
            "postal_code": "07878",
            "telephone_number": "201-919-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HAWLEY LN STE 1102",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141204",
            "telephone_number": "203-666-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVULIN",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349313-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00892800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Konopka
• Mark Konopka, D.C.
• Zachary F Korwin
• Olena Koval, PHARMD
• Kaho Kracke, MA, CCC-SLP
• Joel W Kunkel, MD
• Gemma G Kwolek, DDS
• Karen Marie Laconte, ND
• James Laiso, PT, DPT, CSCS
• Sabrina Lamour, PA-C

• Family Nurse Practitioner in Stratford, CT
• Providers in Stratford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.