Individual provider Active NPI

Kristen Marie Debisceglie, FNP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1225435423
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339100 Issued in NY
Practice address
15 N Broadway FL 2
White Plains, NY 10601-2214
Phone
(914) 428-6000
Fax
(914) 948-8624
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 339100 NY Primary

Addresses

Primary practice location

15 N Broadway FL 2
White Plains, NY 10601-2214

Mailing address

34 Fawn LN
Somers, NY 10589-2437
Phone (207) 272-0374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150210001316 NY Practitioner - Nurse Practitioner 4688999857 Reassigns benefits to 3 organizations
I20151013001348 CT Practitioner - Nurse Practitioner 4688999857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

73 Market St
Yonkers, NY 10710-7602
Phone (914) 682-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5949CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Feb 1, 2015 Accepting new patients
The Westchester Medical Group PC CurrentSince Oct 25, 2025 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Dec 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 24, 2022 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Oct 25, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Nurse Practitioner CurrentSince Sep 24, 2022 Accepting new patients
Prohealth Physicians PC Nurse Practitioner CurrentSince Sep 1, 2016 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Dec 1, 2018 Accepting new patients
Optum Medical Care, P.C. CurrentSince Feb 1, 2015 Accepting new patients
Yakima Neighborhood Health Services PastSince Dec 1, 2018 Accepting new patients

Locations

67 Sand Pit Rd
Ste 202
Danbury, CT 06810
Phone (203) 374-7737

74 Newtown Rd
Danbury, CT 06810
Phone (203) 826-8434

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

15 N Broadway
Fl 2
White Plains, NY 10601
Phone (212) 523-7621

73 Market St
Yonkers, NY 10710
Phone (914) 848-8030

Philadelphia, PA 19195

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kristen.debisceglie.1@21260.direct.athenahealth.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 10

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": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1225435423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FAWN LN",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892437",
            "telephone_number": "207-272-0374",
            "fax_number": "203-778-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N BROADWAY FL 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012214",
            "telephone_number": "914-428-6000",
            "fax_number": "914-948-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBISCEGLIE",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.