Kelly Victoria Krickus
NPI 1336624956ActiveIndividual· Physician Assistant· Wind Gap, PA
Physician Assistant with St Luke's Hospital and 1 other group, practicing in Wind Gap, Pennsylvania. Mostly services rather than prescriptions: Medicare paid $1,600 for 29 patients in 2024, with only 28 Part D claims.
Overview
| NPI | 1336624956 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 28, 2018 |
| Last updated in NPPES | Aug 22, 2024 |
| Certified by provider | Aug 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA060191 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 32 across 6 procedure codes |
| Paid by Medicare | $1,600 |
Part D prescriptions in 2024
| Prescriptions (claims) | 28 · 28 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $196.87 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- St Luke's HospitalAllentown, PA · 98 clinicians
- St. Luke's Hospital -Monroe CampusBrodheadsville, PA · 54 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Wind Gap
- 1417915588
- 1891760666