Individual provider Active NPI

Kirstie M Crespo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New City, NY
National Provider Identifier
1730686486
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404779 Issued in NY
Practice address
216 Congers Rd BLDG 3
New City, NY 10956-6261
Phone
(845) 480-6678
NPI assigned
Apr 10, 2018
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342845 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404779 NY Primary

Addresses

Primary practice location

216 Congers Rd BLDG 3
New City, NY 10956-6261

Mailing address

3050 Corlear Ave Ste 201
Bronx, NY 10463-5181
Phone (718) 543-2700

Other practice location 1

3050 Corlear Ave Ste 201
Bronx, NY 10463-5181
Phone (718) 543-2700

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
I20230412001940 NY Practitioner - Nurse Practitioner 9234504887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342845NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Drcresolo Consulting LLC Current Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince May 15, 2023 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Psychiatric/Mental Health CurrentSince May 15, 2023 Accepting new patients
Balveen Singh DO PC CurrentSince Apr 4, 2023 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

216 Congers Rd
Bldg 3
New City, NY 10956
Phone (845) 480-6678

1765 South Ave
Staten Island, NY 10314
Phone (718) 982-6982

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1730686486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CORLEAR AVE STE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635181",
            "telephone_number": "718-543-2700",
            "fax_number": "718-601-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CONGERS RD BLDG 3",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566261",
            "telephone_number": "845-480-6678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Corlear Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104635181",
            "country_code": "US",
            "telephone_number": "718-543-2700",
            "fax_number": "718-601-0965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "KIRSTIE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342845",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.