Individual provider Active NPI

Marina Krasitskaya, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1508537887
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347895-01 Issued in NY
Practice address
2271 E 12TH St
Brooklyn, NY 11229-4105
Phone
(347) 459-8526
NPI assigned
Sep 25, 2021
Last updated
Sep 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347895-01 NY Primary

Addresses

Primary practice location

2271 E 12TH St
Brooklyn, NY 11229-4105

Mailing address

2271 E 12TH St
Brooklyn, NY 11229-4105
Phone (347) 459-8526

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
I20221003002861 NY Practitioner - Nurse Practitioner 3375929029 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F347895-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jul 9, 2023 Accepting new patients
New York University CurrentSince Mar 11, 2024 Accepting new patients
New York Community Hospital of Brooklyn Inc CurrentSince Oct 11, 2022 Accepting new patients
New York University CurrentSince Mar 11, 2024 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jul 9, 2023 Accepting new patients
Prohealth Care Associates LLP Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Networks

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

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1508537887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294105",
            "telephone_number": "347-459-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294105",
            "telephone_number": "347-459-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASITSKAYA",
        "first_name": "MARINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347895-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.