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

Nicholas Samuel Krajacic, CRNP

Individual provider Family Nurse Practitioner · NPI 1457114399

Nicholas Samuel Krajacic, CRNP is a Nurse Practitioner in State College, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1700 Old Gatesburg Rd Ste 310
State College, PA 16803-2276
Phone: (814) 237-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2051 S Atherton St, State College, PA 16801-7608 — (844) 278-4600
  • 164 Greenview Drive, State College, PA 16803-2106 — (814) 278-4898

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP029207 (PA)

Record details

NPI number1457114399
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 2, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in State College