Active NPI
Kristyn Kulick, PA-C
- Physician Assistant
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008759
- Practice address
- 68 Harrison Ave Ste 600
Boston, MA 02111-1995 - Phone
- (657) 500-0634
- NPI assigned
- Nov 1, 2018
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008759 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Medical Group | Current | Accepting new patients | |
| Bicycle Health Medical Group PA | Past | 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
- 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.
-
dba Magnolia Medical Group
- Clinical Medical Laboratory
- Denver, CO
- NPI 1427543586
-
- Addiction Medicine (Internal Medicine) Physician
- Denver, CO
- NPI 1003672619
-
- Addiction Medicine (Family Medicine) Physician
- Seattle, WA
- NPI 1194342162
-
- Interventional Pain Medicine Physician
- Canton, MI
- NPI 1427483403
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.