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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH A KRZYZKOWSKI NP
NPI 1871083386
Nurse Practitioner - Family in Southaven, MS

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment
363 SOUTHCREST CIR STE 101, SOUTHAVEN, MS 38671(662) 349-0755(662) 349-0356 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 4, 2026, Nov 20, 2019, May 10, 2018 (3 updates tracked since 2018).

About Kenneth A Krzyzkowski Np NPPES

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

KENNETH A KRZYZKOWSKI NP (NPI 1871083386) is an individual family provider in Southaven, Mississippi, licensed in Mississippi (902566) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871083386
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKENNETH A KRZYZKOWSKICredential: NP
Location Address363 SOUTHCREST CIR STE 101Southaven, MS 38671-4737
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (901) 226-4003 · Fax (901) 227-8591
Phone(662) 349-0755
Fax(662) 349-0356
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 10, 2018
Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1871083386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · 902566✔ Licensed in TN · 42623
363 SOUTHCREST CIR STE 101, Southaven, MS 38671
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17601 Southcrest PkwySouthaven, MS 38671-4739 · Phone (901) 226-4910 · Fax (901) 226-4915
Location 2363 Southcrest Cir Ste 101Southaven, MS 38671-4737 · Phone (662) 349-0755 · Fax (662) 349-0356

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave 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

Kenneth A Krzyzkowski Np 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 ID8325393622
PECOS Enrollment IDI20180608001042
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

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 2

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

BRITTANY THOMAS FNP
Nurse Practitioner (Family)
363 SOUTHCREST CIR STE 101
SOUTHAVEN, MS 38671
Desoto County (662) 349-0755
MRS. AIMEE NICOLE FLOYD FNP-BC
Nurse Practitioner
363 SOUTHCREST CIR STE 101
SOUTHAVEN, MS 38671
Desoto County (662) 349-2442

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 Kenneth Krzyzkowski's NPI number?

The NPI number for Kenneth Krzyzkowski is 1871083386. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Kenneth Krzyzkowski located?

Kenneth Krzyzkowski practices at 363 Southcrest Cir Ste 101, Southaven, MS 38671. The listed phone number is (662) 349-0755.

What is Kenneth Krzyzkowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenneth Krzyzkowski enrolled in Medicare?

Yes. Kenneth Krzyzkowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Krzyzkowski accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave, Oscar Health Plan, Inc. and Oscar Insurance Company list Kenneth Krzyzkowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Krzyzkowski affiliated with any hospitals?

According to CMS data, Kenneth Krzyzkowski is affiliated with Baptist Memorial Hospital Desoto.

When was this NPI record last updated?

The NPPES record for Kenneth Krzyzkowski was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.