Sirius Health & Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SIRIUS HEALTH & WELLNESS LLC

Practice address

5327 Crescent Edge Dr
Prescott, AZ 86301-0105

Phone

(928) 515-1755

Fax

(928) 277-1627

NPI assigned

Oct 18, 2013

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Ann Krupnick, MS, FNPNPI 1568412781

Title

Owner/Provider

Phone

(928) 515-1755

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Ann Krupnick, FNP

  • Family Nurse Practitioner
  • Prescott, AZ
  • NPI 1568412781
  NPD Authorized official
• Kurt Andrew Krupnick, M.D.

  • Internal Medicine Physician
  • Prescott, AZ
  • NPI 1700836129
  NPD
• Kimberly S. Wallach, P.A.-C

  • Medical Physician Assistant
  • Prescott Valley, AZ
  • NPI 1750391462
  NPD

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1902234438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 CRESCENT EDGE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863010105",
            "telephone_number": "928-515-1755",
            "fax_number": "928-277-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 CRESCENT EDGE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863010105",
            "telephone_number": "928-515-1755",
            "fax_number": "928-277-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIUS HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRUPNICK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "928-515-1755",
        "authorized_official_credential": "MS, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "KRUP05338662",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP1198",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "043346203012",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "043346203 0078",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaret Simonsen, DMD
• Evan Nicholas Simonson, D.P.M.
• Bardia Sinaei
• Craig E Sinnard, MD
• Molly E. Siregar, LMT
• Megan Sitrin, MSN,RN, ACNP-BC
• Doreen Ann Slabaugh, D.O.
• Sleep Synergies, LLC
• Smi Imaging LLC (Simonmed Imaging)
• Adam Christopher Smith, PHARMD

• Primary Care Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.