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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Pacific Palisades Medical Group Inc.
0.1 mi
Family Medicine
15200 W SUNSET BLVD, SUITE 107
Pacific Palisades, CA 90272
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1215037049 (310) 459-7736
Providence Saint Johns Medical Foundation
2.9 mi
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
NPI 1770093734 (310) 582-7312

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

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
881 ALMA REAL DR STE 101
PACIFIC PALISADES, CA 90272
Los Angeles County (310) 829-8923
DR. DEVORA COHEN MD
Family Medicine
881 ALMA REAL DR STE 101
PACIFIC PALISADES, CA 90272
Los Angeles County (310) 829-8923
MIHAELA R. BALICA MD
Internal Medicine
881 ALMA REAL DR STE 101
PACIFIC PALISADES, CA 90272
Los Angeles County (310) 829-8923
DR. JULIA BLANK MD
Family Medicine
881 ALMA REAL DR STE 101
PACIFIC PALISADES, CA 90272
Los Angeles County (310) 829-8923
IGOR SAPOZHNIKOV M.D.
Family Medicine
881 ALMA REAL DR STE 101
PACIFIC PALISADES, CA 90272
Los Angeles County (310) 829-8923

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 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.

Where is Krystyna Mcnicoll located?

Krystyna Mcnicoll practices at 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272. The listed phone number is (310) 829-8923.

What is Krystyna Mcnicoll's specialty?

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

Is Krystyna Mcnicoll enrolled in Medicare?

Yes. Krystyna Mcnicoll is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Krystyna Mcnicoll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystyna Mcnicoll reassigns Medicare benefits to 2 organizations: Pacific Palisades Medical Group Inc. (Pacific Palisades, CA) and Providence Saint Johns Medical Foundation (Santa Monica, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krystyna Mcnicoll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.