Sally Elizabeth Kraynik, MSN, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201393664NP-PP Issued in OR

Practice address

1895 E Main St
Hillsboro, OR 97123-4345

Phone

(503) 486-7862

Fax

(833) 266-6248

NPI assigned

Aug 22, 2013

Last updated

Oct 25, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sally.kraynik@217526021193732.direct.elationemr.com

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.

• Sally Kraynik NP LLC

  • Nurse Practitioner
  • Hillsboro, OR
  • NPI 1134775703
  NPD Authorized official

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1518391804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234345",
            "telephone_number": "503-486-7862",
            "fax_number": "833-266-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234345",
            "telephone_number": "503-486-7862",
            "fax_number": "833-266-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYNIK",
        "first_name": "SALLY",
        "middle_name": "ELIZABETH",
        "credential": "MSN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201393664NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Derek Kowalik, M.D.
• Makayla Kraemer
• Madison Brooke Kramer
• Kim Renne Krause, MS,CADC III, QMHP
• Linda Kay Krautscheid, RN
• John Bernard Krebsbach, O. D.
• Jenna Krickeberg, B.A.
• Shakuntala Krishnamurthy, MD
• Kristen E Flemmer MD PC
• Robert M Kroodsma, DMD

• Nurse Practitioner in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.