Individual provider Active NPI

Kristine Leena Greco, FNP-BC

  • Family Nurse Practitioner
  • Beacon, NY
National Provider Identifier
1316381320
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346456 Issued in NY
Practice address
498 Route 9D
Beacon, NY 12508-4079
Phone
(845) 321-0298
NPI assigned
Apr 21, 2013
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346456 NY Primary
Registered Nurse 163W00000X 645299 NY

Addresses

Primary practice location

498 Route 9D
Beacon, NY 12508-4079

Mailing address

498 Route 9D
Beacon, NY 12508-4079
Phone (845) 321-0298

Other names 1

  • Kristine Leena O'Connell Other name

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
I20230627002437 NY Practitioner - Nurse Practitioner 6305204009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
The Center for Discovery IncGroup PAC ID 1557250933, 22 clinicians

Practice addresses (Care Compare)

606 Old Route 17
Monticello, NY 12701-7013
Phone (845) 707-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
645299NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Discovery Inc CurrentSince May 1, 2023 Accepting new patients
The Center for Discovery Inc CurrentSince May 1, 2023 Accepting new patients

Locations

606 Old Route 17
Monticello, NY 12701
Phone (845) 707-8400

Organizations & group practices 2

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": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1316381320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 ROUTE 9D",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125084079",
            "telephone_number": "845-321-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 ROUTE 9D",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125084079",
            "telephone_number": "845-321-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "KRISTINE",
        "middle_name": "LEENA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-21",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346456",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "645299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "O'CONNELL",
            "middle_name": "LEENA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beacon, NY

Sources for this page

Verify at the official NPI Registry.