Active NPI
Cristina E Ramos, PA-C
- Physician Assistant
- Fort Drum, NY
National Provider Identifier
1407304603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 036420
- Practice address
- 11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603 - Phone
- (951) 536-6747
- NPI assigned
- Sep 15, 2016
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA66923 | CA | |
| Physician Assistant | 363A00000X | PA9116223 | FL | |
| Physician Assistant | 363A00000X | 036420 | NY | Primary |
Addresses
Primary practice location
11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Mailing address
11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603
Phone (315) 774-7853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lina L Feaster PA | Single Specialty | Past | Accepting new patients |
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": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1407304603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11050 MT BELVEDERE BLVD",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136022603",
"telephone_number": "315-774-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 MT BELVEDERE BLVD",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136022603",
"telephone_number": "951-536-6747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "CRISTINA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA66923",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116223",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "036420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Drum, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.