NPIMap

Individual provider Active NPI

Kristan Corrigan, FNP-BC

  • Family Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1952928715
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346050 Issued in NY
Practice address
4401 Middle Settlement Rd
New Hartford, NY 13413-5331
Phone
(315) 624-4690
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 346050 NY Primary

Addresses

Primary practice location

4401 Middle Settlement Rd
New Hartford, NY 13413-5331

Mailing address

4401 Middle Settlement Rd
New Hartford, NY 13413-5331
Phone (315) 624-4690

Other practice location 1

268 Genesee St # B1
Utica, NY 13502-4617
Phone (315) 801-7140

Other practice location 2

2350 Douglas Ave
Yorkville, NY 13495-1729
Phone (315) 404-6400

Other names 1

  • Kristan Grande Former name

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
I20201020002417 NY Practitioner - Nurse Practitioner 0648690214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Oct 31, 2022 Accepting new patients
MVHS Inc CurrentSince Oct 31, 2022 Accepting new patients
Comprehensive Imaging Service, PLLC PastSince Mar 1, 2021 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

4401 Middle Settlement Rd
New Hartford, NY 13413
Phone (315) 734-3471

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

Interoperability endpoints

  • Direct secure messaging: kgrande11139@mvhealthsystem.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1952928715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135331",
            "telephone_number": "315-624-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135331",
            "telephone_number": "315-624-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Genesee St # B1",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135024617",
            "country_code": "US",
            "telephone_number": "315-801-7140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "NY",
            "postal_code": "134951729",
            "country_code": "US",
            "telephone_number": "315-404-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "KRISTAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTAN",
            "last_name": "GRANDE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.