EDWARD KRASKA – Gerontology Nurse Practitioner, NPI 1396106266

EDWARD KRASKA is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 4704289679 (MI). The NPI Number for EDWARD KRASKA is 1396106266

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD KRASKA
NPI
1396106266
Phone
(231) 935-6080
Address
2891 MOMENTUM PL
Enumeration Date
18 March 2016
Last Update Date
21 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2319355800
Graduation Year
2016 (10 years ago)
PAC ID
6103105200
Group Practice PAC ID
8820277015
Professional Enrollment ID
I20161114000137
Address ID
MI496842369TR1200XSTXX301
Telehealth
Yes

Contacts

Secure Messaging
ekraska@direct.mhc.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for EDWARD KRASKA

  • 2891 MOMENTUM PL

    CHICAGO, IL 606895328

    Phone: (231) 935-6080

    Fax: (231) 935-6081

    Type: Mailing

  • 1200, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States

    SUITE 200

    TRAVERSE CITY, MI 496842369

    Phone: (231) 935-5800

    Fax: (231) 935-5799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161114000137INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes525489$0
99213Established patient office or other outpatient visit, 20-29 minutes6968$0
99212Established patient office or other outpatient visit, 10-19 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 60689)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820277015View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does EDWARD KRASKA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EDWARD KRASKA uses 1396106266.
Can I rely on EDWARD KRASKA being an active provider?
As of the registry snapshot, EDWARD KRASKA is marked active.
What healthcare role does EDWARD KRASKA hold?
Scheduling teams often label EDWARD KRASKA under Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is EDWARD KRASKA based?
EDWARD KRASKA is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Why does EDWARD KRASKA have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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