Individual provider Active NPI

Kristin Sweezy, FNP

  • Family Nurse Practitioner
  • Riverhead, NY
National Provider Identifier
1063130672
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350162 Issued in NY
Practice address
1267 E Main St Ste a
Riverhead, NY 11901-2676
Phone
(631) 259-3290
Fax
(631) 651-4925
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350162 NY Primary

Addresses

Primary practice location

1267 E Main St Ste a
Riverhead, NY 11901-2676

Mailing address

1267 E Main St Ste a
Riverhead, NY 11901-2676
Phone (631) 259-3290

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
I20230110000909 NY Practitioner - Nurse Practitioner 4789054602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000

271 Route 25a
Wading River, NY 11792-2014
Phone (631) 929-4808

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

31 Main Rd
Riverhead, NY 11901-1953

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

496 County Rd 111
Manorville, NY 11949-3386
Phone (631) 405-3220

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
350162NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Nov 1, 2022 Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 1, 2022 Accepting new patients

Locations

496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200

300 Community Dr
Plandome, NY 11030

31 Main Rd
Ste 7
Riverhead, NY 11901
Phone (631) 591-7400

1267 E Main St
Ste A
Riverhead, NY 11901
Phone (631) 259-3290

271 Route 25A
Ste 2
Wading River, NY 11792
Phone (631) 727-4950

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ksweezy60862@northwell.direct-ci.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1063130672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 E MAIN ST STE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012676",
            "telephone_number": "631-259-3290",
            "fax_number": "631-651-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 E MAIN ST STE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012676",
            "telephone_number": "631-259-3290",
            "fax_number": "631-651-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEEZY",
        "first_name": "KRISTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.