BRYNN CHARLOTTE KRUKEMYER (PA-C) – Procedural Dermatology Physician, NPI 1861083008

BRYNN CHARLOTTE KRUKEMYER (PA-C) is a healthcare provider. based in Genoa, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.006703 (OH). The NPI Number for BRYNN CHARLOTTE KRUKEMYER (PA-C) is 1861083008

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
BRYNN CHARLOTTE KRUKEMYER (PA-C)
NPI
1861083008
Phone
(419) 708-8012
Address
506 WEST ST
Enumeration Date
31 January 2021
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4198736963
Graduation Year
2020 (6 years ago)
PAC ID
7517372436
Group Practice PAC ID
8729475025
Professional Enrollment ID
I20210226000205
Address ID
OH435121480DE1252XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for BRYNN CHARLOTTE KRUKEMYER (PA-C)

  • 506 WEST ST

    GENOA, OH 43430

    Phone: (419) 708-8012

    Type: Mailing

  • 1504 US-224 EAST

    FINDLAY, OH 45840

    Phone: (419) 427-3030

    Type: Location

  • 900 W SOUTH BOUNDARY ST

    PERRYSBURG, OH 435515230

    Phone: (419) 873-6963

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $781.

Total Amount is formed as General ($781) + Research ($0) + Ownership ($0) = $781.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: GENZYME CORPORATION ($146).

Total Amount

$781

General + Research + Ownership

Payments

24

Total payment records

General Amount

$781

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-02-26

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
I20210226000205IPhysician AssistantOHTBD

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
99284Emergency department visit with moderate level of medical decision making3030$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2727$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 43430)

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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: 8729475025View full group profile
NameSpecialtyState
D E R M A T O L O G YOH
D E R M A T O L O G YOH

Reviews

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Frequently asked questions

Can I use this page to confirm BRYNN CHARLOTTE KRUKEMYER (PA-C)'s NPI?
Yes. BRYNN CHARLOTTE KRUKEMYER (PA-C) is listed with NPI 1861083008 in the public NPI dataset.
Does the file indicate BRYNN CHARLOTTE KRUKEMYER (PA-C) is practicing under active NPI?
Directory data currently reports BRYNN CHARLOTTE KRUKEMYER (PA-C) as active.
What is BRYNN CHARLOTTE KRUKEMYER (PA-C)'s primary classification?
Procedural Dermatology Physician is the headline specialty for BRYNN CHARLOTTE KRUKEMYER (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect BRYNN CHARLOTTE KRUKEMYER (PA-C) on a map?
Expect Genoa, Ohio as a primary anchor for BRYNN CHARLOTTE KRUKEMYER (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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