NPIMap

Individual provider Active NPI

Krista Tkacz, NP-C

  • Nurse Practitioner
  • Pleasantville, NJ
National Provider Identifier
1669147443
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01190000 Issued in NJ
Practice address
932 S Main St
Pleasantville, NJ 08232-3646
Phone
(800) 486-0131
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01190000 NJ Primary

Addresses

Primary practice location

932 S Main St
Pleasantville, NJ 08232-3646

Mailing address

54 Tailor LN
Sicklerville, NJ 08081-5699
Phone (609) 289-7089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211018000712 NJ Practitioner - Nurse Practitioner 5890193122 Reassigns benefits to 1 organization
I20240809000632 TX Practitioner - Nurse Practitioner 5890193122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DHHS PHS Naihs Crownpoint HospitalGroup PAC ID 0143128041, 46 clinicians
DHHS PHS Naihs Shiprock HospitalGroup PAC ID 0749193837, 148 clinicians

Practice addresses (Care Compare)

Junction of Hwy 371 Navajo RT 9
Crownpoint, NM 87313-0358
Phone (505) 786-5291

US Hwy 160 and Navajo Route 35-Red Mesa
Teecnospos, AZ 86514
Phone (928) 656-5165

Hospital & facility affiliations

  • Northern Navajo Medical Center Hospital, Shiprock, NM, CCN 320059
  • Crownpoint Healthcare Facility Hospital, Crownpoint, NM, CCN 320062

Merit-based Incentive Payment System (MIPS)

Final score
83.65 of 100Reported as group
Quality
68.3
Improvement activities
40
Cost
86.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Thoreau Clinic CurrentSince Jul 22, 2024 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Sep 7, 2021 Accepting new patients
Warm Springs Health and Wellness DHHS IHS Warm Springs Service Unit CurrentSince Apr 22, 2025 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Sep 7, 2021 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Dec 22, 2025 Accepting new patients

Locations

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

932 S Main St
Pleasantville, NJ 08232
Phone (609) 383-0880

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1669147443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TAILOR LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815699",
            "telephone_number": "609-289-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323646",
            "telephone_number": "800-486-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACZ",
        "first_name": "KRISTA",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01190000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.