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Nicholas Brady Krepshaw

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as NICHOLAS KREPSHAW.

Based on the most recent information from CMS, provider Nicholas Brady Krepshaw is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1053961375
Provider Type
Individual
Full Name
Krepshaw, Nicholas Brady
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
9/18/2019
Last Updated
6/5/2023

Contact Information

Practice Location

150 55th St, Brooklyn, NY 11220-2508

(718) 630-7000

Unlisted Fax

Mailing Location

5046 Bennington Dr, Cross Lanes, WV 25313-2051

(304) 881-1773

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 024049 New York

Nicholas Brady Krepshaw

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kwong, Jennifer

Morando, Annelise Katherine

Von Euler, Sarah Lillian

Orlov, Vadim

Chen, Jolina Jiaying

Campbell Gal, Carlene A.

Merusi, Brian

Polansky, Philip

Leong, Julie

Huang, Xin Yan