Individual provider Active NPI

Krista Ann Nastro, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Medford, NY
National Provider Identifier
1497584817
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406164 Issued in NY
Practice address
1727 N Ocean Ave
Medford, NY 11763-2649
Phone
(631) 654-1919
NPI assigned
Aug 1, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406164 NY Primary

Addresses

Primary practice location

1727 N Ocean Ave
Medford, NY 11763-2649

Mailing address

58 Grant Ave Apt a
Islip, NY 11751-3562
Phone (631) 807-0014

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
I20240930002468 NY Practitioner - Nurse Practitioner 8921539198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Island Comprehensive Medical Care PLLCGroup PAC ID 3678731908, 41 clinicians

Practice addresses (Care Compare)

1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone 6316670388612

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
406164NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Comprehensive Medical Care PLLC CurrentSince Apr 1, 2025 Accepting new patients
Catholic Charities of the Diocese of Rockville Centre Current Accepting new patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Sep 3, 2024 Accepting new patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Sep 3, 2024 Accepting new patients
Shahzad Iqbal Physician PLLC PastSince Apr 1, 2025 Accepting new patients

Locations

90 Cherry Ln
Hicksville, NY 11801
Phone (516) 733-7040

847 N Broadway
Massapequa, NY 11758
Phone (516) 798-0441

1727 N Ocean Ave
Medford, NY 11763
Phone (631) 684-1919

1231 Deer Park Ave
North Babylon, NY 11703
Phone 6316670388612

382 Rosevale Ave
Ronkonkoma, NY 11779
Phone (631) 472-6000

555 Little East Neck Rd N
West Babylon, NY 11704
Phone (631) 587-9355

Interoperability endpoints

  • Direct secure messaging: krista.nastro@lcmc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDHCCD

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, 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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1497584817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 GRANT AVE APT A",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513562",
            "telephone_number": "631-807-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632649",
            "telephone_number": "631-654-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTRO",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

Verify at the official NPI Registry.