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

Dominique Lassen Krzykos

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093491748

Dominique Lassen Krzykos is a Physician Assistant in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Unmc Physicians, a 1,484-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14210 N 13th St
Phoenix, AZ 85022-4407
Phone: (602) 828-7855
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 number1093491748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Unmc Physicians — 1484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Phoenix