JUSTIN KRYSHAK
NPI 1710628029
Family Medicine in Elkhorn, WI

Q: What is Justin Kryshak's NPI number?

The NPI number for Justin Kryshak is 1710628029. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Justin Kryshak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Kryshak was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 02, 2022PECOS EnrolledAccepts Medicare Assignment

W3985 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-2121(262) 741-2178 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 10, 2025, Sep 3, 2025, Jul 5, 2022 (3 updates tracked since 2022).

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About Justin Kryshak NPPES

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

JUSTIN KRYSHAK (NPI 1710628029) is an individual family medicine provider in Elkhorn, Wisconsin, licensed in Wisconsin (9465) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and maintains a secondary practice location in Delavan.

NPPES Registry Identity

NPI1710628029

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJUSTIN KRYSHAK

Location AddressW3985 COUNTY ROAD NNElkhorn, WI 53121-4337

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 741-2121

Fax(262) 741-2178

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2022

Enumeration DateApril 2, 2022

Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1710628029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 9465

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Practice Location 1

Location 11550 Hobbs DrDelavan, WI 53115-2027 · Phone (262) 740-4200 · Fax (262) 740-4229

Other Identifiers 1

Medicaid100273633WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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

Justin Kryshak 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 ID2567905961

PECOS Enrollment IDI20250730004038

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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520059

Location252 Mchenry StBurlington, WI 53105 · Racine County

Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520102

LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

DR. MARC ELLIOTT GOSNELL MD

Student in an Organized Health Care Education/Training Program