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

Q: 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.

Q: What is Kenneth Krzyzkowski's specialty?

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

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment

7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-2980(662) 772-2960 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2019, May 10, 2018 (2 updates tracked since 2018).

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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 is a graduate of Other (2017).

NPPES Registry Identity

NPI1871083386

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKENNETH A KRZYZKOWSKICredential: NP

Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671-4739

Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · (901) 227-3255 · Fax (901) 227-8591

Phone(662) 772-2980

Fax(662) 772-2960

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 10, 2018

Last NPPES UpdateNovember 20, 20192 updates tracked since enumeration

✔ NPI 1871083386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 902566

Also ListedNurse PractitionerTaxonomy 363L00000X · License 902566 (MS)

7601 SOUTHCREST PKWY, Southaven, MS 38671

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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 20

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

MID-SOUTH ANESTHESIA CONSULTANTS, PLLC

Specialist