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

Kelly Victoria Krickus

Individual provider Physician Assistant · NPI 1336624956

Kelly Victoria Krickus is a Physician Assistant in Wind Gap, Pennsylvania. Qualified in 2018, 8 years ago. Practices with St Luke's Hospital, a 100-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018

Practice location Address checks out

487 E Moorestown Rd
Wind Gap, PA 18091-9662
Phone: (484) 526-7850
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060191 (PA)

Record details

NPI number1336624956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2018
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Luke'S Hospital — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Wind Gap