Individual provider Active NPI

Katrina Kryzaniak, PA-C

  • Medical Physician Assistant
  • Trinity, FL
National Provider Identifier
1952950974
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9112406 Issued in FL
Practice address
2102 Trinity Oaks Blvd Ste 216
Trinity, FL 34655-4409
Phone
(727) 372-2501
Fax
(813) 635-2698
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9112406 FL Primary

Addresses

Primary practice location

2102 Trinity Oaks Blvd Ste 216
Trinity, FL 34655-4409

Mailing address

2102 Trinity Oaks Blvd Ste 216
Trinity, FL 34655-4409
Phone (727) 372-2501

Other identifiers 1

IdentifierTypeStateIssuer
108627600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191126002998 FL Practitioner - Physician Assistant 7113350406 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2433 Country Place Blvd
Trinity, FL 34655-1163
Phone (813) 844-8200

2703 Forest Rd
Spring Hill, FL 34606-3377
Phone (352) 544-6060

8425 Northcliffe Blvd
Spring Hill, FL 34606-1107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112406FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Jun 16, 2025 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Mar 20, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Apr 8, 2022 Accepting new patients
Access Health Care Physicians LLC CurrentSince Nov 1, 2020 Accepting new patients
Tampa General Medical Group Inc CurrentSince Jun 16, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients
Doctors Urgent Care of Lutz LLC PastSince Feb 21, 2021 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

2703 Forest Rd
Spring Hill, FL 34606
Phone (352) 544-6060

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

2102 Trinity Oaks Blvd
Ste 216
Trinity, FL 34655
Phone (727) 372-2501

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kkryzaniak292635@direct.tgh.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1952950974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 TRINITY OAKS BLVD STE 216",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554409",
            "telephone_number": "727-372-2501",
            "fax_number": "813-635-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 TRINITY OAKS BLVD STE 216",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554409",
            "telephone_number": "727-372-2501",
            "fax_number": "813-635-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYZANIAK",
        "first_name": "KATRINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108627600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.