Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krista Marie Kedl, MS, PA-C

Individual provider Physician Assistant · NPI 1750070892

Krista Marie Kedl, MS, PA-C is a Physician Assistant in Staten Island, New York. Qualified in 2023, 3 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Campus Rd
Staten Island, NY 10301-4479
Phone: (718) 319-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Prospect Ave, Hackensack, NJ 07601-1915 — (551) 996-8100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00818300 (NJ)

Record details

NPI number1750070892
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorYes
NPI enumeratedMay 4, 2023
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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