Individual provider Active NPI

Donna Angela Crichton, NP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1427721620
Registry record updated Sep 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F310260-01 Issued in NY
Practice address
1305 York Ave FL 4
New York, NY 10021-5663
Phone
(646) 962-5483
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F310260-01 NY Primary

Addresses

Primary practice location

1305 York Ave FL 4
New York, NY 10021-5663

Mailing address

1 Alexander St Apt 1008C
Yonkers, NY 10701-7556
Phone (310) 567-9457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210817002595 NY Practitioner - Nurse Practitioner 8921403742 Reassigns benefits to 1 organization
I20241113003366 CT Practitioner - Nurse Practitioner 8921403742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

1305 York Ave
FL 4
New York, NY 10021-5663
Phone (646) 962-5325

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F310260-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Feb 7, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 7, 2022 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Nov 14, 2024 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

1351 Washington Blvd
Fl 4
Stamford, CT 06902
Phone (203) 276-8490

1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464

515 6th St
Brooklyn, NY 11215
Phone (718) 780-3031

1305 York Ave
Fl 4
New York, NY 10021
Phone (646) 962-4000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Gpo 5907
New York, NY 10087

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: dac4016@direct.nyp.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 4

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1427721620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALEXANDER ST APT 1008C",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107017556",
            "telephone_number": "310-567-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 YORK AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215663",
            "telephone_number": "646-962-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRICHTON",
        "first_name": "DONNA",
        "middle_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F310260-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.