Kristine Arbolino, NP
Individual provider Active NPI Nurse Practitioner · Mount Kisco, NY
NPI 1164592812 · NPPES record last updated Nov 11, 2016
Key facts
- NPI
- 1164592812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F334306-1 (NY)
- Practice address
- 90 S Bedford Rd
Care Mount Medical PC
Mount Kisco, NY 10549-3412 - Phone
- (914) 241-1050
- Fax
- (914) 242-1516
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060210000008 | NY | Practitioner - Nurse Practitioner | 7618982786 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F334306-1 | NY | MD | Nurse Practitioner |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current |
Accepting new patients | |
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| Optum Medical Care, P.C. | Current |
Accepting new patients | |
| North Shore - Lij Medical PC | Current |
Accepting new patients | |
| North Shore-Lij Medical Group P.C. | Past | Accepting new patients | |
| Donna R. Kesselman MD, PC | Past | Accepting new patients |
Locations
330 S Service Rd
Melville, NY 11747
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
300 Community Dr
Plandome, NY 11030
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- karbolino60886@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F334306-1 | NY | Yes |
Addresses
Primary practice location
90 S Bedford Rd
Care Mount Medical PC
Mount Kisco, NY 10549-3412
Mailing address
110 S Bedford Rd
Care Mount Medical PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03202384 | Medicaid | NY | |
| 2005010139-22 | Other | NY | ANCC NUMBER |
Other providers in Mount Kisco, NY
- Megan Elizabeth Angiolillo
- Margie A Anik
- Sandra Antin
- Valentina Aponte
- Ilana D. Arazie
- Arch Psychological, PC
- Diana Arevalo
- Michael Arlia
- Amanda R Armato
- Adam Arnoldt
All providers in Mount Kisco, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.