Susan R. Krautkramer, P.A.-C
Individual provider Active NPI Medical Physician Assistant · Wray, CO
NPI 1972560464 · NPPES record last updated Jun 6, 2019
Key facts
- NPI
- 1972560464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 1319 (CO)
- Practice address
- 1017 W 7TH St
Wray, CO 80758-1420 - Phone
- (970) 332-4895
- Fax
- (970) 332-4665
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wray Community District Hospital
Practice addresses (Care Compare)
1017 W 7TH St
Wray, CO 80758-1420
Phone (970) 332-4811
700 Main St
Wray, CO 80758-1739
Phone (970) 332-3450
Hospital & facility affiliations
- Yuma District Hospital Home Health Care
- Wray Community District Hospital
- Keefe Memorial Hospital
- Yuma District Hospital
- Melissa Memorial Hospital
- Kit Carson County Memorial Hospital
- Wray Community District Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100824000404 | CO | Practitioner - Physician Assistant | 4789708017 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1319 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wray Community District Hospital | Past | Accepting new patients |
Interoperability endpoints
- skrautkramer@wrayhospital.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1319 | CO | Yes |
Addresses
Primary practice location
1017 W 7TH St
Wray, CO 80758-1420
Mailing address
1017 W 7TH Street
Wray, CO 80758-1420
Phone (970) 332-4895
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05576814 | Medicaid | CO |
Other providers in Wray, CO
- Trudy Herman
- Randy L Hertneky
- Beth A Kapadia
- Stephanie Kettelson
- Nicole Dawn Kinen
- Kristine E Laible
- Michael Lawler
- Briana F Lorenzini
- Robert G Loyd
- Diana Malave
All providers in Wray, CO · Medical Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.