Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brayden Lee Krivachek

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245033760

Brayden Lee Krivachek is a Physician Assistant in West Des Moines, Iowa. Qualified in 2025, 1 year ago. Practices with St Croix Regional Medical Center, a 132-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

8025 Grand Ave
West Des Moines, IA 50266-5360
Phone: (515) 271-1569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1245033760
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 30, 2025
Mailing address805 Us Highway 52, Decorah, IA 52101-9303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St. Croix Regional Medical Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Des Moines