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KRYSTA ST MICHELL MEDICAL STUDENT
NPI 1700519550
Internal Medicine in Portland, OR

Active since July 07, 2022PECOS Enrolled
2730 SW MOODY AVENUE PORTLAND, OR, PORTLAND, OR 97201(541) 510-3165 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krysta St Michell Medical Student NPPES

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

KRYSTA ST MICHELL MEDICAL STUDENT (NPI 1700519550) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (PG224993) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1700519550
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKRYSTA ST MICHELLCredential: MEDICAL STUDENT
Location Address2730 SW MOODY AVENUE PORTLAND, ORPortland, OR 97201
Mailing Address2730 Sw Moody Avenue Portland, OrPortland, OR 97201
Phone(541) 510-3165
Sole ProprietorNo
Enumeration DateJuly 7, 2022
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1700519550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · PG224993
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2730 SW MOODY AVENUE PORTLAND, OR, Portland, OR 97201
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Secondary Practice Location 1

Location 1890 Oak St SESalem, OR 97301-3905 · Phone (541) 510-3165

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krysta St Michell Medical Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97201 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Krysta St Michell's NPI number?

The NPI number for Krysta St Michell is 1700519550. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Krysta St Michell located?

Krysta St Michell practices at 2730 SW Moody Avenue Portland, Or, Portland, OR 97201. The listed phone number is (541) 510-3165.

What is Krysta St Michell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Krysta St Michell enrolled in Medicare?

Yes. Krysta St Michell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krysta St Michell was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.