Individual provider Active NPI

Kristie Smith, FNP

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1124328562
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351943 Issued in NY
Practice address
120 E 1St St
Oswego, NY 13126-2111
Phone
(315) 342-0880
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351943 NY Primary
Registered Nurse 163W00000X 5639841 NY

Addresses

Primary practice location

120 E 1St St
Oswego, NY 13126-2111

Mailing address

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564

Other practice location 1

7 Bridge St
Phoenix, NY 13135-1906
Phone (315) 695-4700

Other practice location 2

3045 East Ave Ste G400
Central Square, NY 13036-2611
Phone (315) 675-9200

Other practice location 3

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564

Other practice location 4

5856 Scenic Ave
Mexico, NY 13114-3012
Phone (315) 963-4133

Other practice location 5

510 S 4th St Ste 600
Fulton, NY 13069-2952
Phone (315) 598-4790

Other names 1

  • Kristie Vanalstyne Former name

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
I20260401002062 NY Practitioner - Nurse Practitioner 4880179308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

57 Lincoln Ave
Mexico, NY 13114-3397

61 Delano St
Pulaski, NY 13142-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5639841NYMDRegistered Nurse
351943NYMDSpecialist

Organizations & group practices 1

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": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1124328562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262111",
            "telephone_number": "315-342-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "NY",
            "postal_code": "131351906",
            "country_code": "US",
            "telephone_number": "315-695-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 East Ave Ste G400",
            "address_purpose": "LOCATION",
            "city": "Central Square",
            "state": "NY",
            "postal_code": "130362611",
            "country_code": "US",
            "telephone_number": "315-675-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Delano St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131421400",
            "country_code": "US",
            "telephone_number": "315-298-6564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5856 Scenic Ave",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143012",
            "country_code": "US",
            "telephone_number": "315-963-4133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S 4th St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130692952",
            "country_code": "US",
            "telephone_number": "315-598-4790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351943",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5639841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "VANALSTYNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.