Individual provider Active NPI

Crystal Marie Burrows, NP

  • Family Nurse Practitioner
  • Pulaski, NY
National Provider Identifier
1285938308
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340820 Issued in NY
Practice address
61 Delano St
Pulaski, NY 13142-1400
Phone
(315) 298-6564
NPI assigned
Jan 4, 2011
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 619317-1 NY
Family Nurse Practitioner 363LF0000X 340820 NY Primary

Addresses

Primary practice location

61 Delano St
Pulaski, NY 13142-1400

Mailing address

5749 Scenic Ave
Mexico, NY 13114-3179

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
I20161103000708 NY Practitioner - Nurse Practitioner 4284912726 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Care Family Health NP PLLCGroup PAC ID 9931507969, 6 clinicians
Zaki Badawy, MD PCGroup PAC ID 9234576844, 18 clinicians

Practice addresses (Care Compare)

6221 State Route 31
Suite 104
Cicero, NY 13039-8726
Phone (315) 698-4888

8100 Oswego Rd
Suite 140
Liverpool, NY 13090-1659
Phone (315) 726-3861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
619317-1NYMDRegistered Nurse
340820NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Care Family Health NP, PLLC CurrentSince Aug 11, 2025 Accepting new patients
Port City Emergency Physicians LLP Current Accepting new patients
FLH Medical, PC CurrentSince Mar 3, 2021 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
FLH Medical, PC CurrentSince Mar 3, 2021 Accepting new patients
Port City Emergency Physicians LLP CurrentSince Sep 13, 2021 Accepting new patients
Port City Emergency Physicians LLP CurrentSince Sep 13, 2021 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

5972 State Route 31
Cicero, NY 13039
Phone (315) 698-4888

6221 State Route 31
Ste 104
Cicero, NY 13039
Phone (315) 698-4888

510 S 4th St
Ste 2
Fulton, NY 13069
Phone (315) 592-3510

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

Interoperability endpoints

  • Direct secure messaging: crystal.burrows.1@24958.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24958/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1285938308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 SCENIC AVE",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131143179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROWS",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "619317-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, NY

Sources for this page

Verify at the official NPI Registry.