DR. CRISTA C PRATES DNP
NPI 1023531571
Nurse Practitioner - Adult Health in Toms River, NJ

Active since July 17, 2017PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1268 ROUTE 37 W, TOMS RIVER, NJ 08755(732) 602-4480 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2017, Aug 11, 2017, Jul 17, 2017 (3 updates tracked since 2017).

About Dr. Crista C Prates Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRISTA C PRATES DNP (NPI 1023531571) is an individual adult health provider in Toms River, New Jersey, licensed in Connecticut (7283) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gales Ferry, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023531571
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. CRISTA C PRATESCredential: DNP
Location Address1268 ROUTE 37 WToms River, NJ 08755-4999
Mailing AddressPo Box 40409Belfast, ME 04915-1255 · (732) 602-4480
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 17, 2017
Last NPPES UpdateFebruary 20, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
NPI 1023531571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 7283
Also ListedRegistered NurseTaxonomy 163W00000X · License 61888 (CT)
1268 ROUTE 37 W, Toms River, NJ 08755

Secondary Practice Location 1

Location 11666 Route 12 Ste 13AGales Ferry, CT 06335-1541 · Phone (860) 245-9689 · Fax (888) 637-9906

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Crista C Prates Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618235920
PECOS Enrollment IDI20250906000147
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services127 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
18 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1268 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner (Psychiatric/Mental Health)
1268 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner
1268 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner
1268 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner (Adult Health)
1268 ROUTE 37 W, UNIT #1
TOMS RIVER, NJ 08755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crista Prates's NPI number?

The NPI number for Crista Prates is 1023531571. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Crista Prates located?

Crista Prates practices at 1268 Route 37 W, Toms River, NJ 08755. The listed phone number is (732) 602-4480.

What is Crista Prates's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Crista Prates enrolled in Medicare?

Yes. Crista Prates is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Crista Prates was last updated on February 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.