Individual provider Active NPI

Melanie Renae Krznarich, PA-C

  • Physician Assistant
  • Flushing, MI
National Provider Identifier
1437316908
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002542 Issued in MI
Practice address
3244 Bending Brook Dr
Flushing, MI 48433-3012
Phone
(810) 659-4723
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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 5601002542 MI Primary

Addresses

Primary practice location

3244 Bending Brook Dr
Flushing, MI 48433-3012

Mailing address

3244 Bending Brook Dr
Flushing, MI 48433-3012
Phone (810) 659-4723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041015000230 MI Practitioner - Physician Assistant 6608836457 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601002542MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Oct 14, 2011 Accepting new patients
Hurley Medical Center Physician Assistant CurrentSince Oct 14, 2011 Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1437316908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 BENDING BROOK DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333012",
            "telephone_number": "810-659-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 BENDING BROOK DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484333012",
            "telephone_number": "810-659-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZNARICH",
        "first_name": "MELANIE",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.