Individual provider Active NPI

Krysta L Brown-Klochaney, PNP

  • Pediatric Nurse Practitioner
  • Queensbury, NY
National Provider Identifier
1659757441
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382563 Issued in NY
Practice address
28 S Western Ave
Queensbury, NY 12804-3323
Phone
(518) 798-6400
Fax
(518) 798-4105
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 382563 NY Primary

Addresses

Primary practice location

28 S Western Ave
Queensbury, NY 12804-3323

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

27 Hyland Dr
Lake Luzerne, NY 12846-3923
Phone (518) 824-2580

Other practice location 2

1299 Route 9
Gansevoort, NY 12831-1560
Phone (518) 761-6961

Other identifiers 1

IdentifierTypeStateIssuer
04644693MedicaidNY

Other names 1

  • Krysta L Brown Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address krysta.brown.1@1823.direct.athenahealth.com
Direct Messaging Address krysta.brown.1@1823.direct.athenahealth.com
Direct Messaging Address krysta.brown.1@1823.direct.athenahealth.com

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
I20161230001187 NY Practitioner - Nurse Practitioner 2466733670 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network CurrentSince Jan 3, 2017 Accepting new patients
Hudson Headwaters Health Network CurrentSince Jan 3, 2017 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961

27 Hyland Dr
Lake Luzerne, NY 12846
Phone (518) 696-2378

28 S Western Ave
Queensbury, NY 12804
Phone (518) 798-6165

14 Manor Dr
Queensbury, NY 12804
Phone (518) 798-6400

9 Carey Rd
Queensbury, NY 12804

Interoperability endpoints

  • Direct secure messaging: krysta.brown.1@1823.direct.athenahealth.com

Organizations & group practices 3

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1659757441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S WESTERN AVE",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043323",
            "telephone_number": "518-798-6400",
            "fax_number": "518-798-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Hyland Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Luzerne",
            "state": "NY",
            "postal_code": "128463923",
            "country_code": "US",
            "telephone_number": "518-824-2580",
            "fax_number": "518-824-2579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Route 9",
            "address_purpose": "LOCATION",
            "city": "Gansevoort",
            "state": "NY",
            "postal_code": "128311560",
            "country_code": "US",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-KLOCHANEY",
        "first_name": "KRYSTA",
        "middle_name": "L",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04644693",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krysta.brown.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "27 Hyland Dr",
            "city": "Lake Luzerne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128463923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krysta.brown.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "28 S Western Ave",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128043323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krysta.brown.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1299 Route 9",
            "city": "Gansevoort",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128311560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTA",
            "last_name": "BROWN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.