Michelle Nicole Kruczowy, P.A.
NPI 1619396983ActiveIndividual· Physician Assistant· Riverhead, NY
Physician Assistant (P.A.) with North Shore-Lij Medical PC, practicing in Riverhead, New York. 23 Medicare patients in 2024, $1,161 paid; nearly all of their 66 Part D prescriptions were generic (95%). Lists Peconic Bay Medical Center as a hospital affiliation.
Overview
| NPI | 1619396983 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Apr 15, 2014 |
| Last updated in NPPES | Mar 4, 2022 |
| Certified by provider | Mar 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 017333 | NY |
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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 23 across 10 procedure codes |
| Paid by Medicare | $1,161 |
Part D prescriptions in 2024
| Prescriptions (claims) | 66 · 68 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $426.20 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliation
- Peconic Bay Medical CenterRiverhead, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 52 physician assistants in Riverhead · All physician assistants in New York