Individual provider Active NPI

Crissy Patierno, FNP

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1154937902
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022336 Issued in PA
Practice address
1500 Memory Lane Ext
York, PA 17402-9601
Phone
(717) 757-5433
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 SP022336 PA Primary

Addresses

Primary practice location

1500 Memory Lane Ext
York, PA 17402-9601

Mailing address

3025 Freysville Rd
Red Lion, PA 17356-8724
Phone (717) 332-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211209002117 PA Practitioner - Nurse Practitioner 4587054341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

200 Pauline Dr
York, PA 17402-4625
Phone (717) 739-5676

Merit-based Incentive Payment System (MIPS)

Final score
46.78 of 100Reported as apm
Quality
33.56
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of NC PLLC CurrentSince May 7, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

100 W Queen St
Dallastown, PA 17313
Phone (717) 244-6629

867 York Rd
Gettysburg, PA 17325
Phone (717) 337-3238

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841

1770 Barley Rd
York, PA 17408
Phone (717) 755-8811

200 Pauline Dr
York, PA 17402
Phone (717) 739-5676

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1154937902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 FREYSVILLE RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173568724",
            "telephone_number": "717-332-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MEMORY LANE EXT",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029601",
            "telephone_number": "717-757-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIERNO",
        "first_name": "CRISSY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.