Individual provider Active NPI

Krystina Therese Mathelier, ANP-BC

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1083025233
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306721 Issued in NY
Practice address
3411 Wayne Ave
Bronx, NY 10467-2509
Phone
(718) 920-6310
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306721 NY Primary

Addresses

Primary practice location

3411 Wayne Ave
Bronx, NY 10467-2509

Mailing address

16 Sidney Dr
Nanuet, NY 10954-4532
Phone (845) 425-9647

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
I20140915000824 NY Practitioner - Nurse Practitioner 7810116449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306721NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical of New York PC CurrentSince Feb 1, 2026 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2014 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

3411 Wayne Ave
Bronx, NY 10467
Phone (718) 920-2680

1621 Eastchester Rd
Bronx, NY 10461

1695 Eastchester Rd
Bronx, NY 10461
Phone (718) 405-8020

3444 Kossuth Ave
Bronx, NY 10467
Phone (718) 920-2273

111 E 210th St
#100
Bronx, NY 10467
Phone (718) 920-4057

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

Networks

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

Organizations & group practices 3

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.

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1083025233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SIDNEY DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109544532",
            "telephone_number": "845-425-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 WAYNE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672509",
            "telephone_number": "718-920-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHELIER",
        "first_name": "KRYSTINA",
        "middle_name": "THERESE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.