Individual provider Active NPI

Maggie Kathleen Krywalski, FNP

  • Family Health Clinical Nurse Specialist
  • Syracuse, NY
National Provider Identifier
1912304106
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
F338744-1 Issued in NY
Practice address
505 Irving Ave
Suite 1249
Syracuse, NY 13210-1718
Phone
(315) 464-8986
Fax
(315) 464-2329
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X F338744-1 NY Primary

Addresses

Primary practice location

505 Irving Ave
Suite 1249
Syracuse, NY 13210-1718

Mailing address

505 Irving Ave
Suite 1249
Syracuse, NY 13210-1718
Phone (315) 464-8986

Other names 1

  • Miss Maggie Kathleen Brown Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231121000646 NY Practitioner - Nurse Practitioner 0749638377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
67.92
Promoting interoperability
99
Improvement activities
40
Cost
69.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F338744-1NYMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Suny Health Science Center at Syracuse CurrentSince Sep 26, 2023 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Sep 26, 2023 Accepting new patients

Locations

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

505 Irving Ave
Ste 1249D
Syracuse, NY 13210

505 Irving Ave
Ste 1249
Syracuse, NY 13210
Phone (315) 464-2320

Interoperability endpoints

  • Direct secure messaging: mkrywalski42458@direct.upstate.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1912304106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 IRVING AVE",
            "address_2": "SUITE 1249",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101718",
            "telephone_number": "315-464-8986",
            "fax_number": "315-464-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 IRVING AVE",
            "address_2": "SUITE 1249",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101718",
            "telephone_number": "315-464-8986",
            "fax_number": "315-464-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYWALSKI",
        "first_name": "MAGGIE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NY",
            "license": "F338744-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "BROWN",
            "middle_name": "KATHLEEN",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.