REBECCA L KRZYSIAK NP
NPI 1023668951
Nurse Practitioner in Niles, MI

Q: What is Rebecca Krzysiak's NPI number?

The NPI number for Rebecca Krzysiak is 1023668951. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Q: What is Rebecca Krzysiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Krzysiak was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2019PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

42 N SAINT JOSEPH AVE STE 101, NILES, MI 49120(269) 687-4673(269) 687-1798 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, Sep 12, 2019 (2 updates tracked since 2019).

On this page

About Rebecca L Krzysiak Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA L KRZYSIAK NP (NPI 1023668951) is an individual nurse practitioner in Niles, Michigan, licensed in Michigan (4704271704) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023668951

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameREBECCA L KRZYSIAKCredential: NP

Location Address42 N SAINT JOSEPH AVE STE 101Niles, MI 49120-2203

Mailing Address42 N Saint Joseph Ave Ste 101Niles, MI 49120-2203 · (269) 687-4673 · Fax (269) 687-1798

Phone(269) 687-4673

Fax(269) 687-1798

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 12, 2019

Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration

NPPES CertifiedOctober 26, 2023

✔ NPI 1023668951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704271704

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

42 N SAINT JOSEPH AVE STE 101, Niles, MI 49120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca L Krzysiak Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517395932

PECOS Enrollment IDI20200318002381

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MELISSA ANN SLUITER LMSW

Social Worker (Clinical)

42 N SAINT JOSEPH AVE STE 101
NILES, MI 49120

Berrien County (269) 687-4673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Krzysiak's NPI number?

The NPI number for Rebecca Krzysiak is 1023668951. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Rebecca Krzysiak located?

Rebecca Krzysiak practices at 42 N Saint Joseph Ave Ste 101, Niles, MI 49120. The listed phone number is (269) 687-4673.

What is Rebecca Krzysiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebecca Krzysiak enrolled in Medicare?

Yes. Rebecca Krzysiak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rebecca Krzysiak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Rebecca Krzysiak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rebecca Krzysiak affiliated with any hospitals?

According to CMS data, Rebecca Krzysiak is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Rebecca Krzysiak was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.