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

Kaitlyn Krause

Individual provider Medical Physician Assistant · NPI 1043754179

Kaitlyn Krause is a Physician Assistant in Glen Cove, New York. Qualified in 2016, 10 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016

Practice location Address checks out

104 Forest Ave
Glen Cove, NY 11542-2015
Phone: (516) 759-5406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 020394 (NY)

Record details

NPI number1043754179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 8, 2016
Last updated in NPPESDecember 8, 2016
Mailing address31 Flower Hill Dr, Shirley, NY 11967-1618

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Glen Cove