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KRYSTAL PLUMMER PMHNP-BC
NPI 1225399264
Nurse Practitioner - Psychiatric/Mental Health in North Babylon, NY

Active since June 06, 2012PECOS Enrolled
1301 DEER PARK AVE, NORTH BABYLON, NY 11703(631) 358-0848(631) 669-8532 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2022, Feb 28, 2022, Apr 2, 2020 and 1 more (4 updates tracked since 2019).

About Krystal Plummer Pmhnp-bc NPPES

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

KRYSTAL PLUMMER PMHNP-BC (NPI 1225399264) is an individual psychiatric/mental health provider in North Babylon, New York, licensed in New York (402475) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2018).

NPPES Registry Identity

NPI1225399264
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRYSTAL PLUMMERCredential: PMHNP-BC
Location Address1301 DEER PARK AVENorth Babylon, NY 11703-2728
Mailing Address1301 Deer Park AveNorth Babylon, NY 11703-2728 · (631) 358-0848 · Fax (516) 715-3782
Phone(631) 358-0848
Fax(631) 669-8532
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2018
Enumeration DateJune 6, 2012
Last NPPES UpdateApril 6, 20224 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1225399264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402475
Also ListedRegistered NurseTaxonomy 163W00000X · License 630216 (NY)
1301 DEER PARK AVE, North Babylon, NY 11703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Plummer Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820339575
PECOS Enrollment IDI20190408001650
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11703 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Krystal Plummer's NPI number?

The NPI number for Krystal Plummer is 1225399264. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Krystal Plummer located?

Krystal Plummer practices at 1301 Deer Park Ave, North Babylon, NY 11703. The listed phone number is (631) 358-0848.

What is Krystal Plummer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Krystal Plummer enrolled in Medicare?

Yes. Krystal Plummer is registered in the Medicare PECOS enrollment system.

What insurance does Krystal Plummer accept?

Health plans from Providence Health Plan list Krystal Plummer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Krystal Plummer affiliated with any hospitals?

According to CMS data, Krystal Plummer is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Krystal Plummer was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.