MR. ALEXANDER VAN KRUYSMAN
NPI 1417692880
Nurse Practitioner - Psychiatric/Mental Health in Montrose, CO

Q: What is Alexander Kruysman's NPI number?

The NPI number for Alexander Kruysman is 1417692880. It was assigned to this individual provider in the NPPES registry on May 1, 2022.

Q: What is Alexander Kruysman's specialty?

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

Active since May 01, 2022PECOS EnrolledAccepts Medicare Assignment

605 MIAMI RD, MONTROSE, CO 81401(970) 252-3200(970) 249-8793 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2023, May 8, 2023, Aug 2, 2022 (3 updates tracked since 2022).

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About Mr. Alexander Van Kruysman NPPES

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

MR. ALEXANDER VAN KRUYSMAN (NPI 1417692880) is an individual psychiatric/mental health provider in Montrose, Colorado, licensed in Colorado (C-APN.0100521-C-NP) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417692880

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. ALEXANDER VAN KRUYSMAN

Location Address605 MIAMI RDMontrose, CO 81401-4108

Mailing AddressPo Box 1328Durango, CO 81302-1328 · (970) 335-2314

Phone(970) 252-3200

Fax(970) 249-8793

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 1, 2022

Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1417692880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CO · C-APN.0100521-C-NP✔ Licensed in SC · 26051

605 MIAMI RD, Montrose, CO 81401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Alexander Van Kruysman 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 ID2264811140

PECOS Enrollment IDI20230615000206

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.

Medicare Billing Reassignments

Medicare enrollment records show Alexander Kruysman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Colorado Mental Health Center Inc

Same address

Mental Health (Including Community Mental Health Center)

605 MIAMI RD
Montrose, CO 81401

Reassigned Medicare billing, Colorado enrollment
97 clinicians in this Medicare group

NPI 1205570694 (970) 252-3200

University Medical Associates

1,606 mi

Multi-Specialty

2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1760413835 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81401 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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.

MERRI BRENNECKE RN

Registered Nurse (Psychiatric/Mental Health)