Individual provider Active NPI

Kristin Nicole Kruszewski, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1619220746
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5028 Issued in CO
Practice address
3371 W 32ND Ave
Denver, CO 80211-3101
Phone
(727) 967-6805
NPI assigned
Oct 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03682 NC
Physician Assistant 363A00000X 5028 CO Primary

Addresses

Primary practice location

3371 W 32ND Ave
Denver, CO 80211-3101

Mailing address

3371 W 32ND Ave
Denver, CO 80211-3101
Phone (727) 967-6805

Other identifiers 1

IdentifierTypeStateIssuer
8102922MedicaidNC

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
I20170926003834 CO Practitioner - Physician Assistant 0941454235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians

Practice addresses (Care Compare)

11339 S Pikes Peak Dr
Parker, CO 80138-7333
Phone (720) 588-4000

11551 W Ken Caryl Ave
Littleton, CO 80127-3873
Phone (720) 449-8055

1405 E Evans Ave
Denver, CO 80210-4544
Phone (720) 449-8050

17575 Green Valley Ranch Blvd
Denver, CO 80249-7988
Phone (303) 583-4490

5620 S Parker Rd
Aurora, CO 80015-1110
Phone (720) 446-5890

6080 W 92ND Ave
Suite 1000
Westminster, CO 80031-2935
Phone (720) 479-5780

6413 Fig St
Arvada, CO 80004-1041
Phone (720) 449-8060

7600 W Quincy Ave
Littleton, CO 80123-2403
Phone (720) 449-8062

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
72.92
Promoting interoperability
100
Improvement activities
40
Cost
72.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Urgent Care Professional LLC CurrentSince Aug 6, 2017 Accepting new patients
Platte River Medical Clinic LLC Current Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

5165 W 72nd Ave
Westminster, CO 80030
Phone (303) 645-4770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1922/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1619220746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 W 32ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113101",
            "telephone_number": "727-967-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 W 32ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113101",
            "telephone_number": "727-967-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSZEWSKI",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03682",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "5028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8102922",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.