Individual provider Active NPI

Kristie Lynn Langa, FNP-C

  • Family Nurse Practitioner
  • Eastport, NY
National Provider Identifier
1881475937
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350434-01 Issued in NY
Practice address
21 Eastport Manor Rd
Eastport, NY 11941-1410
Phone
(631) 325-2255
Fax
(631) 325-8562
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F350434-01 NY Primary

Addresses

Primary practice location

21 Eastport Manor Rd
Eastport, NY 11941-1410

Mailing address

19 Chateau Dr
Manorville, NY 11949-3359
Phone (631) 455-9880

Other names 1

  • Kristie Lynn Wood Former name

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
I20240313003849 NY Practitioner - Nurse Practitioner 5496191355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000

500 Commack Rd
Commack, NY 11725-5009
Phone (631) 689-6698

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F350434-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical PLLC CurrentSince Oct 15, 2023 Accepting new patients
R&T Medical PC CurrentSince Jan 10, 2024 Accepting new patients
CHS Physician Partners, P.C CurrentSince May 11, 2025 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, PC CurrentSince May 11, 2025 Accepting new patients

Locations

285 Sills Rd
Bldg 10D
East Patchogue, NY 11772
Phone (631) 438-0777

285 Sills Rd
Bldg 5-6H
East Patchogue, NY 11772
Phone (631) 438-0777

285 Sills Rd
Ste D
East Patchogue, NY 11772
Phone (631) 438-0777

21 Eastport Manor Rd
Eastport, NY 11941
Phone (631) 325-2255

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8524/brand/1/csg/1/fhir/r4
  • Direct secure messaging: klanga176629@direct-chsli.net

Organizations & group practices 5

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 1

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1881475937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHATEAU DR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493359",
            "telephone_number": "631-455-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTPORT MANOR RD",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119411410",
            "telephone_number": "631-325-2255",
            "fax_number": "631-325-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGA",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350434-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "WOOD",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eastport, NY

Sources for this page

Verify at the official NPI Registry.