MARY MARGARET KRZYSTOWCZYK NP
NPI 1912504978
Nurse Practitioner - Primary Care in Traverse City, MI

Active since October 02, 2020PECOS EnrolledAccepts Medicare Assignment
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, Apr 29, 2026, Dec 28, 2021 and 1 more (4 updates tracked since 2020).

About Mary Margaret Krzystowczyk Np NPPES

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

MARY MARGARET KRZYSTOWCZYK NP (NPI 1912504978) is an individual primary care provider in Traverse City, Michigan, licensed in Michigan (4704301134) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912504978
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARY MARGARET KRZYSTOWCZYKCredential: NP
Location Address1105 SIXTH STTraverse City, MI 49684-2300
Mailing Address1105 Sixth StTraverse City, MI 49684-2300 · (231) 935-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 2, 2020
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1912504978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in MI · 4704301134✔ Licensed in CO · AG01200132
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG01200132 (CO)
1105 SIXTH ST, Traverse City, MI 49684

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Mary Margaret Krzystowczyk 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 ID244621282
PECOS Enrollment IDI20211229001321
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 Mary Krzystowczyk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1105 6TH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
Hospice and Palliative Medicine
2366 OAK VALLEY DR
Ann Arbor, MI 48103
  • Reassigned Medicare billing, Michigan enrollment
  • 45 clinicians in this Medicare group

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 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Speech-Language Pathologist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684

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 Mary Krzystowczyk's NPI number?

The NPI number for Mary Krzystowczyk is 1912504978. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Where is Mary Krzystowczyk located?

Mary Krzystowczyk practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-5000.

What is Mary Krzystowczyk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mary Krzystowczyk enrolled in Medicare?

Yes. Mary Krzystowczyk 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 Mary Krzystowczyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Krzystowczyk reassigns Medicare benefits to 2 organizations: Munson Medical Center (Traverse City, MI) and Northstar Palliative Care Inc (Ann Arbor, MI). 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 Mary Krzystowczyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Krzystowczyk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mary Krzystowczyk 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 Mary Krzystowczyk was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.