Individual provider Active NPI

Kristyn Kulick, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1598232001
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008759 Issued in MI
Practice address
68 Harrison Ave Ste 600
Boston, MA 02111-1995
Phone
(657) 500-0634
NPI assigned
Nov 1, 2018
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 5601008759 MI Primary

Addresses

Primary practice location

68 Harrison Ave Ste 600
Boston, MA 02111-1995

Mailing address

1935 N Logan St Apt 845
Denver, CO 80203-4431
Phone (248) 330-0765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220907003089 CO Practitioner - Physician Assistant 1951647635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Medical CompanyGroup PAC ID 0749548253, 25 clinicians

Practice addresses (Care Compare)

10515 E 40TH Ave
Suite 115
Denver, CO 80239-3264
Phone (303) 209-5115

1850 Race St
Denver, CO 80206-1116
Phone (303) 209-5115

2925 E Colfax Ave
Denver, CO 80206-1604
Phone (303) 209-5115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601008759MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Medical Group CurrentSince Aug 8, 2022 Accepting new patients
Bicycle Health Medical Group PA PastSince Jun 28, 2020 Accepting new patients
United Pain Therapies PLLC Past Accepting new patients

Locations

1850 Race St
Denver, CO 80206
Phone (303) 209-5115

2925 E Colfax Ave
Denver, CO 80206
Phone (303) 209-5115

10515 E 40th Ave
Ste 115
Denver, CO 80239
Phone (303) 209-5115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5088/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1598232001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 N LOGAN ST APT 845",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034431",
            "telephone_number": "248-330-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE STE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111995",
            "telephone_number": "657-500-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULICK",
        "first_name": "KRISTYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.