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KRYSTEN VAZQUEZ MMS, RPAC
NPI 1366978702
Physician Assistant - Medical in Corona, NY

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
3716 108TH ST, CORONA, NY 11368(718) 651-4000 Get Directions Write a Review

NPPES record last updated: July 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krysten Vazquez Mms, Rpac NPPES

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

KRYSTEN VAZQUEZ MMS, RPAC (NPI 1366978702) is an individual medical provider in Corona, New York, licensed in New York (020916) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2017).

NPPES Registry Identity

NPI1366978702
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRYSTEN VAZQUEZCredential: MMS, RPAC
Location Address3716 108TH STCorona, NY 11368-2025
Mailing Address3716 108th StCorona, NY 11368-2025 · (718) 651-4000 · Fax (718) 424-7776
Phone(718) 651-4000
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2017
Enumeration DateMay 4, 2017
Last NPPES UpdateJuly 19, 2017
✔ NPI 1366978702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 020916
3716 108TH ST, Corona, NY 11368
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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

Krysten Vazquez Mms, Rpac 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 ID7113256306
PECOS Enrollment IDI20190913000631
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.

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.

DR. MATTHEW KUSHER M.D.
Family Medicine
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
MS. MARGARITA LOPERA RD-N
Dietitian, Registered
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
MR. LUIS ANTONIO CACERES VILLALTA M.D.
Family Medicine (Adult Medicine)
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
MS. CAROLINE LEUNG PA-C, RD
Physician Assistant
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
CHRISTIAN DIAZ
Physician Assistant
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
DR. IRFAN JADAVJI M.D.
Family Medicine
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
MARCUS ARROYO PA-C
Physician Assistant
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000
DR. MARISSA GLORIA CARDILLO MD
Pediatrics
3716 108TH ST
CORONA, NY 11368
Queens County (718) 651-4000

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 Krysten Vazquez's NPI number?

The NPI number for Krysten Vazquez is 1366978702. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Krysten Vazquez located?

Krysten Vazquez practices at 3716 108th St, Corona, NY 11368. The listed phone number is (718) 651-4000.

What is Krysten Vazquez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Krysten Vazquez enrolled in Medicare?

Yes. Krysten Vazquez 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 Krysten Vazquez was last updated on July 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.