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

Sergey Krupochkin, MD

Individual provider Adult Health Nurse Practitioner · NPI 1174198303

Sergey Krupochkin, MD is a Nurse Practitioner in Modesto, California. Qualified in 2012, 14 years ago. Practices with Essen Medical Associates, PC, a 270-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
14
Licensed in
CA, NY
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 Coffee Rd
Modesto, CA 95355-2803
Phone: (209) 569-7493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 432 E 149th St, Bronx, NY 10455-1343 — (718) 618-7522

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 310323 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 746535 (NY)

Record details

NPI number1174198303
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESMay 17, 2026
Certification dateMay 17, 2026
Mailing address1700 Coffee Rd, Modesto, CA 95355-2803

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Essen Medical Associates, Pc — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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