NPIMap

Individual provider Active NPI

Crystal Sipley, FNP

  • Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1912492893
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
343125 Issued in NY
Practice address
1729 Burrstone Rd
New Hartford, NY 13413
Phone
(315) 798-1668
Fax
(315) 798-1536
NPI assigned
Jun 25, 2018
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 343125 NY Primary

Addresses

Primary practice location

1729 Burrstone Rd
New Hartford, NY 13413

Mailing address

1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 798-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910001175 NY Practitioner - Nurse Practitioner 6305196577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Critical Care and Sleep Medicine PLLCGroup PAC ID 1052561651, 4 clinicians
Apogee Medical Group, New York, PCGroup PAC ID 4587793294, 117 clinicians
Central New York Brain and Spine Neurosurgery PLLCGroup PAC ID 9830453513, 11 clinicians

Practice addresses (Care Compare)

1450 Champlin Ave
Utica, NY 13502-3662
Phone (315) 624-9004

321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000

83 Genesee St
New Hartford, NY 13413-2472
Phone (315) 792-7629

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
72.79
Improvement activities
40
Cost
71.22

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
67.04
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343125NYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central New York Brain & Spine Neurosurgery PLLC CurrentSince Oct 1, 2024 Accepting new patients
Pulmonary Critical Care and Sleep Medicine PLLC CurrentSince Jan 13, 2020 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Jul 1, 2023 Accepting new patients
Sleep Disorders Lab of Central New York, LLC Past Accepting new patients
Kidney and Hypertension Consultant, PLLC PastSince Jan 13, 2020 Accepting new patients

Locations

83 Genesee St
New Hartford, NY 13413
Phone (315) 732-0995

515 Main St
Olean, NY 14760
Phone (716) 373-2600

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

107 E Chestnut St
Ste 105
Rome, NY 13440
Phone (315) 336-8302

111 E Chestnut St
Ste 2
Rome, NY 13440
Phone (315) 624-9004

1450 Champlin Ave
Utica, NY 13502
Phone (315) 624-8100

Interoperability endpoints

  • Direct secure messaging: crystalsipleyfnp@mvmp.medentdirect.com

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 10

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1912492893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 BURRSTONE RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131001",
            "telephone_number": "315-798-1668",
            "fax_number": "315-798-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 BURRSTONE RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-798-1668",
            "fax_number": "315-798-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPLEY",
        "first_name": "CRYSTAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "343125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.