DR. KRYSTA GREEN (AUD) – Audiologist, NPI 1386043206

DR. KRYSTA GREEN (AUD) is a healthcare provider. based in Lawrence, Kansas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 2258 (KS). The NPI Number for DR. KRYSTA GREEN (AUD) is 1386043206

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRYSTA GREEN (AUD)
NPI
1386043206
Phone
(785) 864-0656
Address
1200 SUNNYSIDE AVE
Enumeration Date
15 August 2014
Last Update Date
5 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
0042439267
Group Practice PAC ID
2961395140
Professional Enrollment ID
I20140919000649
Address ID
KS660457600LA1200XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

139 QUALIFIED AUDIOLOGIST in KS

Provider Addresses for DR. KRYSTA GREEN (AUD)

  • 1200 SUNNYSIDE AVE

    2101 HAWORTH HALL

    LAWRENCE, KS 660457600

    Phone: (785) 864-0656

    Mailing address matches the actual address.

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: 2014-09-19

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
I20140919000649IQualified AudiologistKSTBD

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
92567Test to assess middle ear function1313$0
92557Comprehensive hearing and speech recognition test1212$0
View full utilization report →

Insurance plans in this area (ZIP 66045)

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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: 2961395140View full group profile
NameSpecialtyState
P S Y C H I A T R YKS
-KS
Qualified AudiologistKS
-TX
Qualified Speech Language PathologistKS
-AR
-KS
Psychiatry, Geriatric PsychiatryKS
Nurse PractitionerKS
Qualified Speech Language PathologistKS

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KRYSTA GREEN (AUD)'s NPI?
Yes. DR. KRYSTA GREEN (AUD) is listed with NPI 1386043206 in the public NPI dataset.
Does the file indicate DR. KRYSTA GREEN (AUD) is practicing under active NPI?
Directory data currently reports DR. KRYSTA GREEN (AUD) as active.
What is DR. KRYSTA GREEN (AUD) best known for clinically?
Directory data describes DR. KRYSTA GREEN (AUD) with Audiologist. Clinical services aligned with this taxonomy classification.
Where is DR. KRYSTA GREEN (AUD) based?
DR. KRYSTA GREEN (AUD) is tied to Lawrence, Kansas in the data we show; additional addresses may exist on the full record.
Why does DR. KRYSTA GREEN (AUD) 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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