Kelli J Kruzel, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00911 Issued in RI

Practice address

400 Putnam Pike
Smithfield, RI 02917-2408

Phone

(401) 757-6160

Fax

(401) 349-0840

NPI assigned

Apr 18, 2013

Last updated

Dec 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University at Buffalo Neurosurgery IncGroup PAC ID 0143124719, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• University at Buffalo Neurosurgery, Inc.

  • Neurological Surgery Physician
  • Williamsville, NY
  • NPI 1306896220
  Medicare reassignment Care Compare group NPD
• Ocean State Urgent Care Center of Woonsocket

  • Family Medicine Physician
  • Woonsocket, RI
  • NPI 1073973574
  NPD
• University at Buffalo Neurosurgery, Inc.

  • Specialist
  • Niagara Falls, NY
  • NPI 1295287662
  NPD
• FDR Medical Services P.C.

  • Emergency Medicine Physician
  • Williamsville, NY
  • NPI 1528081809
  NPD (past)

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1841634029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PUTNAM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172408",
            "telephone_number": "401-757-6160",
            "fax_number": "401-349-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PUTNAM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172408",
            "telephone_number": "401-757-6160",
            "fax_number": "401-349-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUZEL",
        "first_name": "KELLI",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016451",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ganim Kinslow, MS CCC-SLP
• Heather A Korencsik, AGPCNP-BC
• Katie Kozacka, MD
• Tyler Kretschmar, ATC
• Hannah Kruger
• Domenic Raymond Lancellotta
• Kendra Lanni, LICSW
• Lauren E Lapierre, DPT
• Katelyn Lavoie
• Taylor Lebrun, DPT

• Physician Assistant in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.