Individual provider Active NPI

Michele A Kinstrey, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Medford, NY
National Provider Identifier
1699922740
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403152 Issued in NY
Practice address
Yaphank Center 31 Scouting Blvd
Medford, NY 11763-1176
Phone
(631) 924-4411
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 403152 NY Primary

Addresses

Primary practice location

Yaphank Center 31 Scouting Blvd
Medford, NY 11763-1176

Mailing address

Yaphank Center 31 Industrial Boulevard
Medford, NY 11763-0001
Phone (631) 444-2884

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
I20220929001675 NY Order and Referring Only - Nurse Practitioner 8628488624

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Past Accepting new patients
The Yaphank Center PastSince Apr 30, 2023 Accepting new patients

Organizations & group practices 2

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1699922740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YAPHANK CENTER 31 INDUSTRIAL BOULEVARD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117630001",
            "telephone_number": "631-444-2884",
            "fax_number": "631-444-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "YAPHANK CENTER 31 SCOUTING BLVD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631176",
            "telephone_number": "631-924-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSTREY",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

Verify at the official NPI Registry.