Individual provider Active NPI

Emily B Krajec, D.O.

  • Family Medicine Physician
  • Princeton, IN
National Provider Identifier
1700198520
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02004141A Issued in IN
Practice address
685 Vail St
Princeton, IN 47670-9510
Phone
(812) 386-6650
Fax
(812) 386-6698
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02004141A IN Primary

Addresses

Primary practice location

685 Vail St
Princeton, IN 47670-9510

Mailing address

800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20181110000379 IL Practitioner - Emergency Medicine 6204081425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wabash General Hospital DistrictGroup PAC ID 8022908185, 77 clinicians

Practice addresses (Care Compare)

1418 College Dr
Mt Carmel, IL 62863-2638

26 E Elm St
Albion, IL 62806-1211
Phone (618) 262-8621

Hospital & facility affiliations

  • Wabash General Hospital 1 Hospital, Mount Carmel, IL, CCN 141327

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District Current Accepting new patients
Wabash General Hospital District CurrentSince Mar 17, 2022 Accepting new patients
Wabash General Hospital District CurrentSince Mar 17, 2022 Accepting new patients
Wabash General Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Integritas Emergency Physician Services, LLC CurrentSince Feb 1, 2021 Accepting new patients
Wabash General Hospital District Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

Organizations & group practices 6

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 2

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1700198520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E LOCUST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502553",
            "telephone_number": "618-395-7340",
            "fax_number": "618-392-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 VAIL ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476709510",
            "telephone_number": "812-386-6650",
            "fax_number": "812-386-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJEC",
        "first_name": "EMILY",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004141A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.