KRYSTYNA MCNICOLL MD
NPI 1750392247
Family Medicine in Pacific Palisades, CA

Q: What is Krystyna Mcnicoll's NPI number?

The NPI number for Krystyna Mcnicoll is 1750392247. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Krystyna Mcnicoll'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 Krystyna Mcnicoll was last updated on September 14, 2021. 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.

Active since August 10, 2006PECOS Enrolled

881 ALMA REAL DR STE 101, PACIFIC PALISADES, CA 90272(310) 829-8923(424) 212-5936 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2021, Aug 14, 2020, Aug 4, 2020 (3 updates tracked since 2020).

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About Krystyna Mcnicoll Md NPPES

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

KRYSTYNA MCNICOLL MD (NPI 1750392247) is an individual family medicine provider in Pacific Palisades, California, licensed in California (A42084) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pacific Palisades.

NPPES Registry Identity

NPI1750392247

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKRYSTYNA MCNICOLLCredential: MD

Location Address881 ALMA REAL DR STE 101Pacific Palisades, CA 90272-3792

Mailing Address881 Alma Real Dr Ste 101Pacific Palisades, CA 90272-3792

Phone(310) 829-8923

Fax(424) 212-5936

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateSeptember 14, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1750392247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A42084

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.

881 ALMA REAL DR STE 101, Pacific Palisades, CA 90272

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Secondary Practice Location 1

Location 115200 W Sunset Blvd Ste 107Pacific Palisades, CA 90272-3620 · Phone (310) 459-7736 · Fax (310) 230-0284

Other Identifiers 1

Medicaid00A420840CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystyna Mcnicoll Md 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 90272 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers14 claims50 services$6.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY ALAN GREEN MD

Internal Medicine