Individual provider Active NPI

Kristin Marie Albright, PA-C

  • Physician Assistant
  • Syracuse, NY
National Provider Identifier
1043504053
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021426 Issued in NY
Practice address
700 E Brighton Ave
Syracuse, NY 13205-2201
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Jun 7, 2011
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 021426 NY Primary

Addresses

Primary practice location

700 E Brighton Ave
Syracuse, NY 13205-2201

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other practice location 1

556 Clinton Ave S
Rochester, NY 14620-1105
Phone (585) 442-8422

Other practice location 2

3 Saint Anthony St
Auburn, NY 13021-4525
Phone (872) 231-3162

Other practice location 3

21 Old Route 6
Carmel, NY 10512-2107
Phone (845) 225-5202

Other practice location 4

80 Sharron Ave
Plattsburgh, NY 12901-4700
Phone (518) 561-1447

Other practice location 5

526 Old Liverpool Rd Ste 9
Liverpool, NY 13088-6285
Phone (315) 453-3911

Other practice location 6

918 James St
Syracuse, NY 13203-2503
Phone (872) 231-3162

Other identifiers 4

IdentifierTypeStateIssuer
01420795MedicaidNY
01420800MedicaidNY
04925568MedicaidNY
1336163963MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110001379 NY Practitioner - Physician Assistant 4789940560 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians
Conifer Park IncGroup PAC ID 2769470384, 12 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

5100 W Taft Rd
Liverpool, NY 13088-4841

556 Clinton Ave S
Rochester, NY 14620-1105
Phone (585) 442-8422

79 Glenridge Rd
Glenville, NY 12302-4523
Phone (518) 952-8142

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021426NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arms Acres Inc CurrentSince Aug 12, 2021 Accepting new patients
Conifer Park, Inc. CurrentSince Jul 16, 2020 Accepting new patients
Conifer Park, Inc CurrentSince Jul 16, 2020 Accepting new patients
Conifer Park, Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

21 Old Route 6
Carmel, NY 10512
Phone (845) 225-5202

526 Old Liverpool Rd
Ste 9
Liverpool, NY 13088
Phone (315) 453-3911

80 Sharron Ave
Plattsburgh, NY 12901
Phone (518) 561-1447

556 Clinton Ave S
Rochester, NY 14620
Phone (585) 442-8422

79 Glenridge Rd
Scotia, NY 12302
Phone (518) 952-8142

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1043504053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BRIGHTON AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052201",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 Clinton Ave S",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146201105",
            "country_code": "US",
            "telephone_number": "585-442-8422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Saint Anthony St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130214525",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Old Route 6",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105122107",
            "country_code": "US",
            "telephone_number": "845-225-5202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Sharron Ave",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129014700",
            "country_code": "US",
            "telephone_number": "518-561-1447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "526 Old Liverpool Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130886285",
            "country_code": "US",
            "telephone_number": "315-453-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "918 James St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032503",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBRIGHT",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420795",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420800",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04925568",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.