Kriezel Charmel Ersando Presta, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3427 Issued in CT

Practice address

52 Washington Ave
Suite 4
North Haven, CT 06473-1724

Phone

(203) 672-2800

Fax

(203) 672-2801

NPI assigned

Sep 18, 2015

Last updated

Jul 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kriezel Charmel Lu Ersando Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Practice and Internal Medicine, LLCGroup PAC ID 5991894123, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kriezel.ersando@caremedica.eclinicaldirectplus.com

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.

• Family Practice & Internal Medicine, LLC

  • Internal Medicine Physician
  • North Haven, CT
  • NPI 1902095003
  Medicare reassignment Care Compare group
• Family Practice & Internal Medicine of Spring Gren LLC

  • Internal Medicine Physician
  • Hamdeh, CT
  • NPI 1255371571
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1316316474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-672-2800",
            "fax_number": "203-672-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WASHINGTON AVE",
            "address_2": "SUITE 4",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731724",
            "telephone_number": "203-672-2800",
            "fax_number": "203-672-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTA",
        "first_name": "KRIEZEL CHARMEL",
        "middle_name": "ERSANDO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIEZEL CHARMEL",
            "last_name": "ERSANDO",
            "middle_name": "LU",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marc W Platt, D.C.
• Perla Marlene Polanco, RDN
• Alana Therese Pomarico, MSN, APRN, NP-C
• Christine Porto, LCSW
• Jamie Prefontaine, APRN
• Pri- Care Express, LLC
• Daniel Thomas Price, M.D.
• Melinda Elizabeth Pritz, M.A., LMFT
• Privia Virtual Health - Connecticut PLLC
• Professional Hearing Services, LLC

• Physician Assistant in North Haven, CT
• Providers in North Haven, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.