Active NPI
Krysta L Brown-Klochaney, PNP
- Pediatric Nurse Practitioner
- Queensbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 382563
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04644693 | Medicaid | NY |
Other names 1
- Krysta L Brown
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Headwaters Health Network | Current | Accepting new patients | |
| Hudson Headwaters Health Network | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Warrensburg, NY
- NPI 1194738344
-
- Primary Care Clinic/Center
- Salem, NY
- NPI 1982417119
-
- Primary Care Clinic/Center
- Champlain, NY
- NPI 1245285170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.