MS. KRISTINE ANN PRAZAK RPA-C
NPI 1346376092
Physician Assistant - Surgical in Mineola, NY

Q: What is Kristine Prazak's NPI number?

The NPI number for Kristine Prazak is 1346376092. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Q: What is Kristine Prazak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kristine Prazak was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 26, 2007PECOS EnrolledAccepts Medicare Assignment

200 OLD COUNTRY RD, MINEOLA, NY 11501(516) 294-5330 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Kristine Ann Prazak Rpa-c NPPES

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

MS. KRISTINE ANN PRAZAK RPA-C (NPI 1346376092) is an individual surgical provider in Mineola, New York, licensed in New York (008873) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stony Brook, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1346376092

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. KRISTINE ANN PRAZAKCredential: RPA-C

Location Address200 OLD COUNTRY RDMineola, NY 11501-4235

Mailing Address205 Lilac PlMassapequa Park, NY 11762-3450 · (516) 797-3451

Phone(516) 294-5330

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 26, 2007

Last NPPES UpdateSeptember 27, 2022

NPPES CertifiedSeptember 27, 2022

✔ NPI 1346376092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 008873

200 OLD COUNTRY RD, Mineola, NY 11501

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Secondary Practice Location 1

Location 1Stony Brook University Medical Ctr, HSC T19 090Stony Brook, NY 11794-8191 · Phone (631) 444-1435

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

Ms. Kristine Ann Prazak Rpa-c 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 ID244415701

PECOS Enrollment IDI20220516002082

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.

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Other Providers at the Same Location NPPES 20

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

STEPHEN P YANG M.D.

Internal Medicine (Nephrology)

200 OLD COUNTRY RD
MINEOLA, NY 11501

Nassau County (516) 663-2169

MICHAEL GARRISON M.D.

Internal Medicine (Hematology & Oncology)

200 OLD COUNTRY RD, SUITE 450
MINEOLA, NY 11501

Nassau County (516) 663-9500

MONICA DA SILVA OLIVEIRA PA-C

Physician Assistant

200 OLD COUNTRY RD
MINEOLA, NY 11501

Nassau County (516) 877-0977

TOBIRAS JERUSALEM BARAO WHITFIELD DDS

Student in an Organized Health Care Education/Training Program

200 OLD COUNTRY RD
MINEOLA, NY 11501

Nassau County (516) 663-2752

MRS. ABIGAIL ROSE MCNALL FNP

Nurse Practitioner (Family)

200 OLD COUNTRY RD, SUITE 370
MINEOLA, NY 11501

Nassau County (516) 663-4525

DR. STUART ROBERT SHERMAN D.O.

Dermatology

200 OLD COUNTRY RD, SUITE 366
MINEOLA, NY 11501

Nassau County (516) 741-1730

DR. MICHAEL LAWRENCE FRIEDMAN M.D.

Internal Medicine (Cardiovascular Disease)

200 OLD COUNTRY RD, SUITE 278
MINEOLA, NY 11501

Nassau County (516) 877-0977

BEHZAD PAIMANY MD

Internal Medicine (Cardiovascular Disease)

200 OLD COUNTRY RD, # 278
MINEOLA, NY 11501

Nassau County (516) 877-0977

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 Kristine Prazak's NPI number?

The NPI number for Kristine Prazak is 1346376092. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Kristine Prazak located?

Kristine Prazak practices at 200 Old Country Rd, Mineola, NY 11501. The listed phone number is (516) 294-5330.

What is Kristine Prazak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kristine Prazak enrolled in Medicare?

Yes. Kristine Prazak 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.

When was this NPI record last updated?

The NPPES record for Kristine Prazak was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.