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

Individual provider Physician Assistant · NPI 1033778378

Kristina Marie Breckenridge, PA is a Physician Assistant in Syracuse, New York. Qualified in 2019, 7 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

739 Irving Ave Ste 450
Syracuse, NY 13210-1663
Phone: (315) 470-7364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024149 (NY)

Record details

NPI number1033778378
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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