Individual provider Active NPI

Susan B Kryzsko, APRN

  • Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1447819727
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112809 Issued in NE
Practice address
403 Lexington Cir
Grand Island, NE 68803-9728
Phone
(308) 675-3222
Fax
(308) 675-3234
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112809 NE Primary

Addresses

Primary practice location

403 Lexington Cir
Grand Island, NE 68803-9728

Mailing address

403 Lexington Cir
Grand Island, NE 68803-9728
Phone (308) 675-3222

Other practice location 1

301 S Way Ave
Sutton, NE 68979-2134
Phone (402) 773-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20190709000611 NE Practitioner - Nurse Practitioner 0749515112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hastings Convenient Care PCGroup PAC ID 8729119011, 9 clinicians

Practice addresses (Care Compare)

208 S Burlington Ave
Suite 108
Hastings, NE 68901-5943
Phone (402) 463-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Convenient Care PC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients

Locations

208 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-6300

Organizations & group practices 1

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 2

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1447819727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LEXINGTON CIR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688039728",
            "telephone_number": "308-675-3222",
            "fax_number": "308-675-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 LEXINGTON CIR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688039728",
            "telephone_number": "308-675-3222",
            "fax_number": "308-675-3234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Way Ave",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "NE",
            "postal_code": "689792134",
            "country_code": "US",
            "telephone_number": "402-773-0115",
            "fax_number": "402-773-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRYZSKO",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.