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CARRIE ANN KRALICEK PMHNP-BC
NPI 1164860383
Nurse Practitioner - Psychiatric/Mental Health in Coos Bay, OR

Active since June 10, 2013Opted out of Medicare · through Jul 1, 2028
153 N BROADWAY, COOS BAY, OR 97420(541) 808-9599(541) 808-9559 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 9, 2016, May 14, 2016 (2 updates tracked since 2016).

About Carrie Ann Kralicek Pmhnp-bc NPPES

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

CARRIE ANN KRALICEK PMHNP-BC (NPI 1164860383) is an individual psychiatric/mental health provider in Coos Bay, Oregon, licensed in Oregon (201401811NP-PP) and active in the NPI registry since June 2013. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1164860383
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARRIE ANN KRALICEKCredential: PMHNP-BC
Location Address153 N BROADWAYCoos Bay, OR 97420-1633
Mailing Address153 N BroadwayCoos Bay, OR 97420-1633 · (541) 808-9599 · Fax (541) 808-9559
Phone(541) 808-9599
Fax(541) 808-9559
Sole ProprietorNo
Enumeration DateJune 10, 2013
Last NPPES UpdateAugust 9, 20162 updates tracked since enumeration
✔ NPI 1164860383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 201401811NP-PP
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License IP60386649 (WA)
153 N BROADWAY, Coos Bay, OR 97420
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carrie Ann Kralicek Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

A RIGHT MIND MENTAL WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
153 N BROADWAY
COOS BAY, OR 97420
Coos County (541) 808-9599

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 Carrie Kralicek's NPI number?

The NPI number for Carrie Kralicek is 1164860383. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Carrie Kralicek located?

Carrie Kralicek practices at 153 N Broadway, Coos Bay, OR 97420. The listed phone number is (541) 808-9599.

What is Carrie Kralicek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carrie Kralicek enrolled in Medicare?

No. Carrie Kralicek has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carrie Kralicek was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.