Kenneth A. Krzyzkowski, NP
NPI 1871083386ActiveIndividual· Nurse Practitioner, Family· Southaven, MS
Nurse Practitioner, Family (NP) with Greenbrook Physician Services, LLC, practicing in Southaven, Mississippi. Enrolled in Medicare as practitioner - nurse practitioner. Lists Baptist Memorial Hospital Desoto as a hospital affiliation.
Overview
| NPI | 1871083386 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | May 10, 2018 |
| Last updated in NPPES | Oct 16, 2026 |
| Certified by provider | Oct 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 902566 | MS |
| Nurse Practitioner, Family | 363LF0000X | 42623 | TN |
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 - Nurse Practitioner (MS) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Greenbrook Physician Services, LLCSouthaven, MS · 72 clinicians
Hospital affiliation
- Baptist Memorial Hospital DesotoSouthaven, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family nurse practitioners in Southaven
- 1013524495
- 1033221106
- 1043633696
- 1104603653
- 1114445764
- 1174872626
- 1205521028
- 1215454418
- 1215455639
- 1235695768
- 1255799730
- 1275936163
All 92 family nurse practitioners in Southaven · All family nurse practitioners in Mississippi