Individual provider Active NPI

Khrystyna Mokriy, FNP-BC

  • Family Nurse Practitioner
  • Mechanicville, NY
National Provider Identifier
1588040497
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F355819-01 Issued in NY
Practice address
2229 Route 9
Mechanicville, NY 12118-3021
Phone
(440) 390-9793
NPI assigned
Aug 3, 2015
Reactivated
Mar 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 F355819-01 NY Primary

Addresses

Primary practice location

2229 Route 9
Mechanicville, NY 12118-3021

Mailing address

2229 Route 9
Mechanicville, NY 12118-3021
Phone (440) 390-9793

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
I20260226001280 NY Practitioner - Nurse Practitioner 2466933536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2229 Route 9
Mechanicville, NY 12118

424 Church St
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F355819-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical of New York PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1588040497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 ROUTE 9",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183021",
            "telephone_number": "440-390-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 ROUTE 9",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183021",
            "telephone_number": "440-390-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKRIY",
        "first_name": "KHRYSTYNA",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "deactivation_date": "2023-06-20",
        "reactivation_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F355819-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicville, NY

Sources for this page

Verify at the official NPI Registry.