Individual provider Active NPI

Crysti Mincey, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1881231967
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309358 Issued in NY
Practice address
152 E 118TH St Apt S1
New York, NY 10035-4084
Phone
(929) 867-1784
NPI assigned
Dec 8, 2019
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 309358 NY
Adult Health Nurse Practitioner 363LA2200X 309358 NY Primary

Addresses

Primary practice location

152 E 118TH St Apt S1
New York, NY 10035-4084

Mailing address

16004 Crossbay Blvd Ste 225
Howard Beach, NY 11414-3407
Phone (929) 867-1784

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
I20201222001141 NY Practitioner - Nurse Practitioner 1850703513 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians
Visiting Services, LLCGroup PAC ID 2961824842, 31 clinicians
Medcare, LLCGroup PAC ID 9537265541, 15 clinicians

Practice addresses (Care Compare)

10 Munson St
Le Roy, NY 14482-8933
Phone (585) 768-2561

240 N Main St
Spring Valley, NY 10977-4020
Phone (845) 374-0410

468 Lafayette Ave
Brooklyn, NY 11205-4809
Phone (718) 399-6234

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Services, LLC Primary Care CurrentSince Sep 1, 2022 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Crysti Mincey NP in Adult Health PC Primary Care CurrentSince Nov 9, 2024 Accepting new patients
JDS Medical Services PC CurrentSince Dec 9, 2025 Accepting new patients
Medcare, LLC CurrentSince Jul 4, 2025 Accepting new patients
Home Medical Services PLLC CurrentSince Nov 11, 2020 Accepting new patients
Fresh Meadows Physician Practice PLLC CurrentSince Jan 18, 2026 Accepting new patients
Medical Director Services PC CurrentSince Jul 1, 2024 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Aug 12, 2020 Accepting new patients
Lafayette Medical Office, PC Past Accepting new patients

Locations

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

16004 Crossbay Blvd
Howard Beach, NY 11414

10 Munson St
Le Roy, NY 14482
Phone (585) 591-6000

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

152 E 118th St
Apt S1
New York, NY 10035
Phone (347) 599-3380

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: crystimincey@mai.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1881231967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16004 CROSSBAY BLVD STE 225",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143407",
            "telephone_number": "929-867-1784",
            "fax_number": "574-406-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E 118TH ST APT S1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354084",
            "telephone_number": "929-867-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCEY",
        "first_name": "CRYSTI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2024-08-05",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "309358",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.