Active NPI
Kristen Feese
- Adult Health Nurse Practitioner
- New Hyde Park, NY
National Provider Identifier
1164804100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307295
- Practice address
- 1985 Marcus Ave # 100
New Hyde Park, NY 11042-2008 - Phone
- (855) 201-4988
- NPI assigned
- Jun 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN2361736 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | 307295 | NY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | CNP251859 | ME | |
| Adult Health Nurse Practitioner | 363LA2200X | 71016273A | IN | |
| Adult Health Nurse Practitioner | 363LA2200X | 16469 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | LP-0010863 | DE | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ15360300 | NJ |
Addresses
Primary practice location
1985 Marcus Ave # 100
New Hyde Park, NY 11042-2008
Mailing address
2268 Penfield Rd
Penfield, NY 14526-1945
Phone (585) 469-0618
Other practice location 1
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-3457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16469 | CT | MD | Adult Health Nurse Practitioner |
| LP-0010863 | DE | MD | Adult Health Nurse Practitioner |
| 71016273A | IN | MD | Adult Health Nurse Practitioner |
| CNP251859 | ME | MD | Adult Health Nurse Practitioner |
| 26NJ15360300 | NJ | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- kfeese@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772236800000",
"number": "1164804100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2268 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261945",
"telephone_number": "585-469-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 MARCUS AVE # 100",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422008",
"telephone_number": "855-201-4988"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-275-3457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEESE",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2361736",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307295",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ME",
"license": "CNP251859",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71016273A",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "16469",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DE",
"license": "LP-0010863",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ15360300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.