Active NPI
Crystal Marie Burrows, NP
- Family Nurse Practitioner
- Pulaski, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 340820
- Practice address
- 61 Delano St
Pulaski, NY 13142-1400 - Phone
- (315) 298-6564
- NPI assigned
- Jan 4, 2011
- Last updated
- Nov 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 619317-1 | NY | MD | Registered Nurse |
| 340820 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Care Family Health NP, PLLC | Current | Accepting new patients | |
| Port City Emergency Physicians LLP | Current | Accepting new patients | |
| FLH Medical, PC | Current | Accepting new patients | |
| Soldiers & Sailors Memorial Hospital | Current | Accepting new patients | |
| FLH Medical, PC | Current | Accepting new patients | |
| Port City Emergency Physicians LLP | Current | Accepting new patients | |
| Port City Emergency Physicians LLP | Current | 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
- crystal.burrows.1@24958.direct.athenahealth.com
- 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.
-
- Nurse Practitioner
- Manlius, NY
- NPI 1043981814
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1871206474
-
- Family Medicine Physician
- Penn Yan, NY
- NPI 1215174644
-
- Emergency Medicine Physician
- Oswego, NY
- NPI 1134370547
-
- Critical Access Hospital
- Penn Yan, NY
- NPI 1215044516
-
- Gastroenterology Physician
- Geneva, NY
- NPI 1164766325
-
- Emergency Medicine Physician
- Hamilton, NY
- NPI 1316395460
-
- Emergency Medicine Physician
- Fulton, NY
- NPI 1548402530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.