KRISTA M O'DONNELL FNP-C
NPI 1366959678
Nurse Practitioner - Family in Stony Brook, NY

Active since January 08, 2018PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
NEW YORK SPINE AND BRAIN SURGERY DEPT OF NEUROSURGERY, HSC T12 RM 080, STONY BROOK, NY 11794(631) 444-1116(631) 444-1535 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krista M O'donnell Fnp-c NPPES

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

KRISTA M O'DONNELL FNP-C (NPI 1366959678) is an individual family provider in Stony Brook, New York, licensed in New York (342183) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366959678
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTA M O'DONNELLCredential: FNP-C
Location AddressNEW YORK SPINE AND BRAIN SURGERY DEPT OF NEUROSURGERY, HSC T12 RM 080Stony Brook, NY 11794-8122
Mailing Address40 Baylor DrSmithtown, NY 11787-2002 · (631) 786-4065
Fax(631) 444-1535
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 8, 2018
NPI 1366959678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 342183
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 613325 (NY)
NEW YORK SPINE AND BRAIN SURGERY DEPT OF NEUROSURGERY, Stony Brook, NY 11794

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

Krista M O'donnell Fnp-c 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 ID9931461589
PECOS Enrollment IDI20180320002604
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

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 Krista O'donnell's NPI number?

The NPI number for Krista O'donnell is 1366959678. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Krista O'donnell located?

Krista O'donnell practices at New York Spine And Brain Surgery Dept Of Neurosurgery Hsc T12 Rm 080, Stony Brook, NY 11794. The listed phone number is (631) 444-1116.

What is Krista O'donnell's specialty?

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

Is Krista O'donnell enrolled in Medicare?

Yes. Krista O'donnell 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 Krista O'donnell was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.