Individual provider Active NPI

Krissa M Pyrch, D.O.

  • Family Medicine Physician
  • Graham, NC
National Provider Identifier
1740676592
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2026-01164 Issued in NC
Practice address
214 E Elm St
Graham, NC 27253-3022
Phone
(336) 226-2448
Fax
(336) 226-5894
NPI assigned
Apr 8, 2015
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2026-01164 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 70502-21 WI
Physical Medicine & Rehabilitation Physician 208100000X 70502-21 WI

Addresses

Primary practice location

214 E Elm St
Graham, NC 27253-3022

Mailing address

214 E Elm St
Graham, NC 27253-3022
Phone (336) 226-2448

Other practice location 1

W12802 County Hwy A
Bowler, WI 54416
Phone (715) 793-5031

Other identifiers 1

IdentifierTypeStateIssuer
100088245MedicaidWI

Other names 1

  • Krissa Mary Ratliff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200330000519 WI Practitioner - Family Practice 2466761374 Reassigns benefits to 1 organization
I20260529002530 NC Practitioner - Family Practice 2466761374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockbridge Munsee CommunityGroup PAC ID 9830094655, 9 clinicians

Practice addresses (Care Compare)

214 E Elm St
Graham, NC 27253-3022
Phone (336) 226-2448

W12802 County Rd a
Bowler, WI 54416-9551
Phone 71579341445031

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2026-01164NCMDFamily Medicine Physician
70502-21WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stockbridge Munsee Community CurrentSince Feb 16, 2020 Accepting new patients

Locations

W12802 County Road A
Bowler, WI 54416
Phone (715) 793-4144

Interoperability endpoints

  • Direct secure messaging: krissa.pyrch@smhwc.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1740676592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533022",
            "telephone_number": "336-226-2448",
            "fax_number": "336-226-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533022",
            "telephone_number": "336-226-2448",
            "fax_number": "336-226-5894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W12802 County Hwy A",
            "address_purpose": "LOCATION",
            "city": "Bowler",
            "state": "WI",
            "postal_code": "54416",
            "country_code": "US",
            "telephone_number": "715-793-5031",
            "fax_number": "715-793-5028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYRCH",
        "first_name": "KRISSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2026-01164",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "70502-21",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "70502-21",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088245",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISSA",
            "last_name": "RATLIFF",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Graham, NC

Sources for this page

Verify at the official NPI Registry.