Crystal Nevins, NURSE PRACTITIONER
Individual provider Active NPI Family Medicine Physician · Yaphank, NY
NPI 1801047469 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1801047469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 346466 (NY)
- Practice address
- 7 Nydia CT
Yaphank, NY 11980-9500 - Phone
- (631) 820-2100
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Positive Change Psychiatry PLLC
Practice addresses (Care Compare)
175 Jericho Tpke
Syosset, NY 11791-4538
Phone (516) 364-6500
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.73 of 100
- Quality
- 88.19
- Improvement activities
- 40
- Cost
- 64.85
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201203001841 | NY | Practitioner - Nurse Practitioner | 0345651949 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346466 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ion Oltean Physician PC | Current |
Accepting new patients | |
| Preferred Professional Medical Care PC | Current |
Accepting new patients | |
| Renew Medical of New York, PLLC | Family Medicine | Current |
Accepting new patients |
| Positive Change Psychiatry PLLC | Current |
Accepting new patients | |
| Michael Bishai MD, LLC | Current |
Accepting new patients |
Locations
22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792
3923 Fort Hamilton Pkwy
Brooklyn, NY 11218
Phone (718) 314-0999
1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110
691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000
385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574
3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556
175 Jericho Tpke
Ste 301
Syosset, NY 11791
Phone (516) 364-6500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 346466 | NY | Yes |
Addresses
Primary practice location
7 Nydia CT
Yaphank, NY 11980-9500
Mailing address
7 Nydia CT
Yaphank, NY 11980-9500
Phone (631) 820-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602969-1 | Medicaid | NY |
Other providers in Yaphank, NY
- Mark Joseph Milano
- Haley Lynn Mileski
- Deborah Christine Mitchell
- Susan Elizabeth Muscarello
- Annie Neisen
- New Interdisciplinary School
- One Love Midwifery PLLC
- Vanessa Pacella
- Lauren Pepe
- Luz Mery Poblano
All providers in Yaphank, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.