Angela Marie Nicholson Krull, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

61429451205 Issued in UT

Practice address

10011 Centennial Pkwy
Suite 500
Sandy, UT 84070-4156

Phone

(801) 676-7627

Fax

(801) 676-7630

NPI assigned

Sep 20, 2006

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

Other identifiers 1

Other names 1

• Angela Marie Micholson Former name

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

University of Utah School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alta Pain Physicians PLLCGroup PAC ID 2163602426, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.krull@1006.securemail.prognocis.com

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.

• Alta Pain Physicians, PLLC

  • Interventional Pain Medicine Physician
  • Sandy, UT
  • NPI 1063721850
  Medicare reassignment Care Compare group NPD
• Advanced Spine and Pain PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Draper, UT
  • NPI 1437627080
  Medicare reassignment NPD
• Evergreen Medical, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Draper, UT
  • NPI 1316160534
  Medicare reassignment NPD
• The Smart Clinic

  • Physical Medicine & Rehabilitation Physician
  • Park City, UT
  • NPI 1477269199
  NPD (past)
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1528379195
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1649377540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 CENTENNIAL PKWY",
            "address_2": "SUITE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704156",
            "telephone_number": "801-676-7627",
            "fax_number": "801-676-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 CENTENNIAL PKWY",
            "address_2": "SUITE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704156",
            "telephone_number": "801-676-7627",
            "fax_number": "801-676-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULL",
        "first_name": "ANGELA",
        "middle_name": "MARIE NICHOLSON",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "61429451205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316160534",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MICHOLSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Korish, DPT
• Amber Kosmas
• Douglas Walter Krahenbuhl, PT
• Kali R Krivinchuk, DC
• Wyatt K Kropf, PHARMD
• Marci Kuhn, RN
• Patrick Kunkel, D.D.S., M.S.D
• Lauren Lacayo de Rodas
• Arianna Laiho, DPT
• Anetone Laititi Jr.

• Physical Medicine & Rehabilitation Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.