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MRS. MICHELLE NICOLE KRUCZOWY P.A.
NPI 1619396983
Physician Assistant in Riverhead, NY

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 548-6000 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Michelle Nicole Kruczowy P.a. NPPES

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

MRS. MICHELLE NICOLE KRUCZOWY P.A. (NPI 1619396983) is an individual physician assistant in Riverhead, New York, licensed in New York (017333) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1619396983
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MICHELLE NICOLE KRUCZOWYCredential: P.A.
Location Address1300 ROANOKE AVERiverhead, NY 11901-2031
Mailing Address1300 Roanoke AveRiverhead, NY 11901-2031 · (516) 465-3083
Phone(631) 548-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateMarch 4, 2022
NPPES CertifiedMarch 4, 2022
✔ NPI 1619396983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 017333
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1300 ROANOKE AVE, Riverhead, NY 11901
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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

Mrs. Michelle Nicole Kruczowy P.a. 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 ID2163648171
PECOS Enrollment IDI20140729000911
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.

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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. DONG WON CHOE M.D.
Emergency Medicine
1300 ROANOKE AVE, DEPARTMENT OF EMERGENCY MEDICINE
RIVERHEAD, NY 11901
Suffolk County (631) 548-6200
CENTRAL SUFFOLK HOSPITAL
Hospitalist
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 548-6116
DR. AHMED CHAUDHRY D.O.
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 548-6424
THERESA CUNNINGHAM CRNA
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 548-6220
AMY B BAILEY ANP
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 548-6207
JACLYN MAE CHOTOWICKY
Nurse Practitioner (Acute Care)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (516) 661-1721
ARLYNE RAMOS CRNA
Nurse Anesthetist, Certified Registered
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 208-0984
FOZIA LASHARI
Surgery
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 548-6000

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 Michelle Kruczowy's NPI number?

The NPI number for Michelle Kruczowy is 1619396983. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Michelle Kruczowy located?

Michelle Kruczowy practices at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 548-6000.

What is Michelle Kruczowy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michelle Kruczowy enrolled in Medicare?

Yes. Michelle Kruczowy 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.

Is Michelle Kruczowy affiliated with any hospitals?

According to CMS data, Michelle Kruczowy is affiliated with Peconic Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Kruczowy was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.