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TIMOTHY J KRAYNACK PA-C
NPI 1780956946
Physician Assistant in Fpo, AE

Active since February 03, 2012PECOS Enrolled
PSC 836 BOX 2670, FPO, AE 09636(314) 624-4110 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Nov 13, 2018 (2 updates tracked since 2018).

About Timothy J Kraynack Pa-c NPPES

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

TIMOTHY J KRAYNACK PA-C (NPI 1780956946) is an individual physician assistant in Fpo, AE and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780956946
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY J KRAYNACKCredential: PA-C
Location AddressPSC 836 BOX 2670Fpo, AE 09636-9998
Mailing AddressNaval Medical Center Portsmouth, 620 John Paul Jones CirclePortsmouth, VA 23708
Phone(314) 624-4110
Sole ProprietorNo
Enumeration DateFebruary 3, 2012
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1780956946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA058948 (PA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy J Kraynack Pa-c 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.

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.

MIA GABRIELLA GALASSI CRNA
Nurse Anesthetist, Certified Registered
PSC 836 BOX 2670
FPO, AE 09636
(999) 999-9999
DR. HENRY ALLSTON LUMPKIN DMD
Dentist (General Practice)
PSC 836 BOX 2670
FPO, AE 09636
(843) 240-7796
DR. SHERRY ANGELICA CARAVEO DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
PSC 836 BOX 2670
FPO, AE 09636
(314) 624-4871
MACKINELY GOLDTHWAITE IDC
Military Health Care Provider
PSC 836 BOX 2670
FPO, AE 09636
(603) 731-9392
KRYSTAL RAPP AU.D.
Audiologist
PSC 836 BOX 2670
FPO, AE 09636
(314) 624-4226
DR. BRADLEY DANIEL MARTINSEN DMD
Dentist
PSC 836 BOX 2670
FPO, AE 09636
(314) 624-4088
CHRISTOPHER WEISS N.P.
Nurse Practitioner (Family)
PSC 836 BOX 2670
FPO, AE 09636
(314) 624-4811
AARON JACK FRANK DPM
Podiatrist
PSC 836 BOX 2670
FPO, AE 09636
(315) 624-4811

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 Timothy Kraynack's NPI number?

The NPI number for Timothy Kraynack is 1780956946. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Timothy Kraynack located?

Timothy Kraynack practices at Psc 836 Box 2670, Fpo, AE 09636. The listed phone number is (314) 624-4110.

What is Timothy Kraynack's specialty?

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

Is Timothy Kraynack enrolled in Medicare?

Yes. Timothy Kraynack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Kraynack was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.