Individual provider Active NPI

Kristen Elaine Egger, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1902315443
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402307-1 Issued in NY
Practice address
195 Broadway # 315
Brooklyn, NY 11211-6128
Phone
(516) 761-7885
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 F402307-1 NY Primary

Addresses

Primary practice location

195 Broadway # 315
Brooklyn, NY 11211-6128

Mailing address

83 Woodbine St
Brooklyn, NY 11221-4944
Phone (516) 761-7556

Other identifiers 1

IdentifierTypeStateIssuer
F402307-1OtherNYNP LICENSE

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
I20190509001850 NY Practitioner - Nurse Practitioner 0446519482 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F402307-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lesters Mental Health Counseling PC CurrentSince Jan 17, 2021 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 16, 2019 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 16, 2019 Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince May 1, 2019 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince May 1, 2019 Accepting new patients

Locations

102 Pilling St
Brooklyn, NY 11207
Phone (718) 602-1000

195 Broadway
Ste 315
Brooklyn, NY 11211

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

195 Broadway
#315
Brooklyn, NY 11211
Phone (516) 761-7885

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

50 Water St
Fl 3
New York, NY 10004

Interoperability endpoints

  • Direct secure messaging: keggerackerman342483@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1902315443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WOODBINE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214944",
            "telephone_number": "516-761-7556",
            "fax_number": "347-766-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 BROADWAY # 315",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116128",
            "telephone_number": "516-761-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGER",
        "first_name": "KRISTEN",
        "middle_name": "ELAINE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402307-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "F402307-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.