Daisy Medina-Kreppein, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

334130 Issued in NY

Practice address

2280 N Ocean Ave
Inside Kmart
Farmingville, NY 11738-2911

Phone

(631) 282-8450

Fax

(631) 320-1300

NPI assigned

Aug 12, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Daisy Medina-Kreppein Professional name

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

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Queens Medical Health Wellness PCGroup PAC ID 1456608058, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

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.

• Queens Medical Health Wellness PC

  • Cardiovascular Disease Physician
  • Oakland Gardens, NY
  • NPI 1912431321
  Medicare reassignment Care Compare group NPD
• Harry W. Lopez DPM P.C.

  • Podiatrist
  • Ozone Park, NY
  • NPI 1992049761
  NPD (past)
• Premier Cardiology Consultants, PLLC

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
  • NPI 1497773394
  NPD (past)
• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1487656112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 98TH ST",
            "address_2": "APT 2C",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211601",
            "telephone_number": "718-850-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 N OCEAN AVE",
            "address_2": "INSIDE KMART",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382911",
            "telephone_number": "631-282-8450",
            "fax_number": "631-320-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-KREPPEIN",
        "first_name": "DAISY",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "491154",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02827998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAISY",
            "last_name": "MEDINA-KREPPEIN",
            "prefix": "DR.",
            "credential": "DNP, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle McGowan, RN
• Jocelyne McKenzie, RN
• Denise McKeon, M.S. CCC SLP
• Danielle McMath, LMSW
• Michael John McWhirter Jr.
• Andrew Melin, RPH
• Christina Mellor
• Angela Marie Mercado
• Thomas Frank Miceli, D.C.
• Nicole Mieczkowski, OTR/L

• Family Nurse Practitioner in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.