Kristen Monteiro, RN

Key facts

NPI

1477096956

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

F357400 (NY)

Practice address

1344 Middle Country Rd
Centereach, NY 11720-3583

Phone

(631) 268-3010

NPI assigned

Dec 1, 2016

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Brookhaven Heart PLLC Cardiovascular Disease Physician · Patchogue, NY · NPI 1639260607
  Medicare reassignment Care Compare group NPD NY
• Kumar S Mandal MD PC Family Medicine Physician · Shirley, NY · NPI 1497924476
  NPD (past)
• MD 365 Medical Care PLLC Family Medicine Physician · Shirley, NY · NPI 1841531142
  NPD (past)
• Suffolk Home Care LLC Home Health Agency · Shirley, NY · NPI 1952943854
  NPD (past)
• William Floyd School District Local Education Agency (LEA) · Mastic Beach, NY · NPI 1447304266
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brookhaven Heart PLLC (24 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA

Specialties & licenses

Addresses

Other names

• Kristen Bucalo Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2025.

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1477096956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 MIDDLE COUNTRY RD STE 1",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203584",
            "telephone_number": "631-561-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203583",
            "telephone_number": "631-268-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEIRO",
        "first_name": "KRISTEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F357400",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "654121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BUCALO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Centereach, NY · Family Nurse Practitioner in New York