Krysta St Michell, MEDICAL STUDENT
NPI 1700519550 · Internal Medicine Physician · Portland, OR
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krysta St Michell, MEDICAL STUDENT is a Internal Medicine Physician provider in Portland, OR (NPI 1700519550).
Provider details
- NPI number
- 1700519550
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MEDICAL STUDENT
- Sex
- Female
- Sole proprietor
- No
- License
- PG224993 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 890 Oak St SeSalem, OR 97301-3905Phone: (541) 510-3165
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Krysta St Michell's NPI number?
- Krysta St Michell's National Provider Identifier (NPI) is 1700519550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krysta St Michell's specialty?
- Krysta St Michell is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Krysta St Michell located?
- Krysta St Michell's practice location on file with NPPES is 2730 Sw Moody Avenue Portland, Or, Portland, OR 97201.
- What is Krysta St Michell's phone number?
- The practice phone number listed in the NPPES registry for Krysta St Michell is (541) 510-3165.
- Does Krysta St Michell accept Medicare?
- Krysta St Michell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Krysta St Michell's NPI active?
- Yes — Krysta St Michell's NPI (1700519550) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.