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THOMAS KROCHALIS CRNP
NPI 1912371717
Nurse Practitioner - Psychiatric/Mental Health in Martinsburg, WV

Active since November 17, 2015PECOS EnrolledAccepts Medicare Assignment
99 TAVERN RD, MARTINSBURG, WV 25401(304) 263-4999 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, Nov 17, 2023, Oct 10, 2022 and 4 more (7 updates tracked since 2015).

About Thomas Krochalis Crnp NPPES

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

THOMAS KROCHALIS CRNP (NPI 1912371717) is an individual psychiatric/mental health provider in Martinsburg, West Virginia, licensed in West Virginia (120556) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912371717
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHOMAS KROCHALISCredential: CRNP
Location Address99 TAVERN RDMartinsburg, WV 25401-2890
Mailing AddressPo Box 1146Martinsburg, WV 25402-1146 · (304) 263-4999
Phone(304) 263-4999
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 17, 2015
Last NPPES UpdateJune 24, 20257 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1912371717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in WV · 120556✔ Licensed in PA · SP015393✔ Licensed in PA · SP022998
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP015393 (PA), APRN002114 (NV)
99 TAVERN RD, Martinsburg, WV 25401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Krochalis Crnp 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 ID5991078982
PECOS Enrollment IDI20250113001556
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 Thomas Krochalis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shenandoah Valley Medical System, Inc.
Same address
Federally Qualified Health Center (FQHC)
99 TAVERN RD
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 33 clinicians in this Medicare group
NPI 1083617823 (304) 263-4999
New Directions Mental Health, PC
127 mi
Mental Health (Including Community Mental Health Center)
110 HIDDEN VALLEY RD
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 223 clinicians in this Medicare group
NPI 1215904800 (724) 941-4070

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 25401 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

CASSIE ANN MCNAMEE
Nurse Practitioner (Family)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
GIANLUCA LAMONACA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-7023
PRISCILLA BRYANT-SCHOENLY MSW
Social Worker (Clinical)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (302) 263-4999
KAREN ELIZABETH LAAKANIEMI MSN,CNM
Midwife
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-0660
KRISTA HOPKINS M.D.
Obstetrics & Gynecology
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
MRS. MICHELE M SHEETZ FNP
Nurse Practitioner (Family)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
LINDA GILLET CNM
Midwife
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999

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 Thomas Krochalis's NPI number?

The NPI number for Thomas Krochalis is 1912371717. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Where is Thomas Krochalis located?

Thomas Krochalis practices at 99 Tavern Rd, Martinsburg, WV 25401. The listed phone number is (304) 263-4999.

What is Thomas Krochalis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Thomas Krochalis enrolled in Medicare?

Yes. Thomas Krochalis 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.

Which organizations bill Medicare for Thomas Krochalis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Krochalis reassigns Medicare benefits to 2 organizations: Shenandoah Valley Medical System, Inc. (Martinsburg, WV) and New Directions Mental Health, PC (Mc Murray, PA). 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 Thomas Krochalis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Krochalis accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Thomas Krochalis 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.

When was this NPI record last updated?

The NPPES record for Thomas Krochalis was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.