KRISTY ANN VENTURA NP
NPI 1245489970
Nurse Practitioner - Family in East Syracuse, NY

Q: What is Kristy Ventura's NPI number?

The NPI number for Kristy Ventura is 1245489970. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Q: What is Kristy Ventura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Ventura was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 18, 2008PECOS EnrolledAccepts Medicare Assignment

76.5/100

CMS Quality Rating

5000 BRITTONFIELD PKWY STE A100, EAST SYRACUSE, NY 13057(315) 449-3800(315) 449-0558 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2021, Feb 4, 2020 (2 updates tracked since 2020).

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About Kristy Ann Ventura Np NPPES

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

KRISTY ANN VENTURA NP (NPI 1245489970) is an individual family provider in East Syracuse, New York, licensed in New York (F331174) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1245489970

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTY ANN VENTURACredential: NP

Location Address5000 BRITTONFIELD PKWY STE A100East Syracuse, NY 13057-9227

Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 449-3800 · Fax (315) 449-0558

Phone(315) 449-3800

Fax(315) 449-0558

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 18, 2008

Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1245489970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F331174

5000 BRITTONFIELD PKWY STE A100, East Syracuse, NY 13057

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Other Identifiers 1

Medicaid03035889NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristy Ann Ventura Np 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 ID4284793316

PECOS Enrollment IDI20081105000019

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.

Medicare Billing Reassignments

Medicare enrollment records show Kristy Ventura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Auburn Community Hospital

28 mi

Skilled Nursing Facility

20 PARK AVE
Auburn, NY 13021

Reassigned Medicare billing, New York enrollment
Also billed through NPI 1336855683 (New York)
277 clinicians in this Medicare group

NPI 1902889215 (315) 255-7209

Auburn Memorial Medical Services, PC

28 mi

Orthopaedic Surgery

17 LANSING STREET, ATTN: C. MCLOUD
Auburn, NY 13021

Reassigned Medicare billing, New York enrollment
249 clinicians in this Medicare group

NPI 1194913749 (315) 567-0455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

354 services231 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

132 services122 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

100 services79 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

56 services56 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Geneva General Hospital

Acute Care Hospitals · Geneva, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330058

Location196 -198 North StreetGeneva, NY 14456 · Ontario County

Emergency services

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330175

Location134 Homer AvenueCortland, NY 13045 · Cortland County

Emergency services Birthing friendly

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330235

Location17 Lansing StreetAuburn, NY 13021 · Cayuga County

Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

76.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.87

Promoting Interoperability

Improvement Activities

Cost

58.37

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

0%230 patients1/55-star benchmark: 100%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

91%114 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

94%292 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

25%60 patients2/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers12 claims156 services$19.17 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

3 suppliers12 claims360 services$2.40 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

22 suppliers76 claims256 services$5.82 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers11 claims13 services$0.88 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers16 claims16 services$309.85 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers288 claims288 services$188.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

ANDREW SNIDER PA-C

Physician Assistant