Individual provider Active NPI

Krystal Ford, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1104492917
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347805 Issued in NY
Practice address
995 Senator Keating Blvd Ste 330
Rochester, NY 14618-2779
Phone
(585) 232-2980
Fax
(585) 232-6552
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 347805 NY Primary

Addresses

Primary practice location

995 Senator Keating Blvd Ste 330
Rochester, NY 14618-2779

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 232-2980

Other practice location 1

4500 Millennium Dr
Geneseo, NY 14454-1192
Phone (585) 232-2980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Krystal.Ford@rochesterregional.org

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
I20211001000157 NY Practitioner - Nurse Practitioner 1557768744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Front St
Vestal, NY 13850-1554
Phone (607) 658-1003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
347805NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 16, 2021 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Aug 16, 2021 Accepting new patients
Rochester General Hospital Family CurrentSince Aug 16, 2021 Accepting new patients
Rochester General Hospital Current Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

4500 Millennium Dr
Geneseo, NY 14454
Phone (585) 232-2980

995 Senator Keating Blvd
Ste 330
Rochester, NY 14618
Phone (585) 232-2980

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

200 Front St
Vestal, NY 13850
Phone (607) 658-1003

200 Front St
Ste D
Vestal, NY 13850
Phone (607) 754-1776

Interoperability endpoints

  • Direct secure messaging: krystal.ford@rochesterregional.org

Organizations & group practices 5

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1104492917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-232-2980",
            "fax_number": "585-232-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 SENATOR KEATING BLVD STE 330",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182779",
            "telephone_number": "585-232-2980",
            "fax_number": "585-232-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Millennium Dr",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541192",
            "country_code": "US",
            "telephone_number": "585-232-2980",
            "fax_number": "585-232-6552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KRYSTAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Krystal.Ford@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1425 Portland Avenue",
            "address_2": "Wilson Building",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.