Brayden Lee Krivachek
NPI 1245033760ActiveIndividual· Student in an Organized Health Care Education/Training Program· West Des Moines, IA
Student in an Organized Health Care Education/Training Program with St. Croix Regional Medical Center, practicing in West Des Moines, Iowa. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Lists St Croix Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1245033760 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 31, 2025 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (WI) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St. Croix Regional Medical CenterLindstrom, MN · 131 clinicians
Hospital affiliation
- St Croix Regional Medical CenterSaint Croix Falls, WI
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All 134 Student in an Organized Health Care Education/Training Program providers in West Des Moines · All Student in an Organized Health Care Education/Training Program providers in Iowa