ADRIENNE MARY KRYSIAK – Emergency Medicine Physician, NPI 1023549847
Emergency Medicine Physician
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NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
Provider Addresses for ADRIENNE MARY KRYSIAK
3525 Southern Boulevard
Kettering, OH 45429
Phone: (937) 395-8839
Fax: (937) 395-8387
Type: Location
1000 Mineral Point Ave
Janesville, WI 535482982
Phone: (608) 756-6868
Fax: (608) 756-6289
Type: Location
1401 25TH ST S
BMG ADMIND
GREAT FALLS, MT 594055183
Phone: (406) 731-8888
Fax: (406) 731-8318
Type: Mailing
3525, Southern Boulevard, South Dale, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454291221
Phone:
Type: Mailing
29624 NETWORK PL
CHICAGO, IL 606731296
Phone: (815) 971-7000
Fax: (815) 968-4795
Type: Mailing
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: 2025-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211011001951 | I | Emergency Medicine | MT | TBD |
| I20251125003106 | I | Emergency Medicine | WI | TBD |
| I20251217001584 | I | Emergency Medicine | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 225 | 219 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 216 | 198 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 136 | 130 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 60 | 55 | $0 |
Insurance plans in this area (ZIP 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| A N E S T H E S I O L O G Y | MT | |
| Physician Assistant | MT | |
| - | MT | |
| N E U R O L O G Y | MT | |
| D E R M A T O L O G Y | MT | |
| Diagnostic Radiology | MT | |
| - | MT | |
| Emergency Medicine | NY |
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