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KARISSA KORMANDY CRNP
NPI 1366993370
Nurse Practitioner in Phillipsburg, NJ

Active since October 14, 2016PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865(484) 526-6643 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2022, Oct 31, 2016, Oct 14, 2016 (3 updates tracked since 2016).

About Karissa Kormandy Crnp NPPES

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

KARISSA KORMANDY CRNP (NPI 1366993370) is an individual nurse practitioner in Phillipsburg, New Jersey, licensed in Pennsylvania (SP016059) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366993370
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKARISSA KORMANDYCredential: CRNP
Location Address185 ROSEBERRY STPhillipsburg, NJ 08865-1690
Mailing Address801 Ostrum StBethlehem, PA 18015-1000
Phone(484) 526-6643
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 14, 2016
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1366993370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in PA · SP016059✔ Licensed in NJ · 26NJ00656400
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
185 ROSEBERRY ST, Phillipsburg, NJ 08865
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Karissa Kormandy Crnp 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 ID9830470350
PECOS Enrollment IDI20161221000831
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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier25 claims25 services$13.48 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers42 claims42 services$4.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$60.15 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 20

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

ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Physician Assistant (Surgical)
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 847-2621
DR. SHIVA REZVANIAN M.D
Internal Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 835-1910
JOHN M BROWN MD
Pathology (Anatomic Pathology)
185 ROSEBERRY ST, WARREN HOSPITAL
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6750
DR. DARIA M. STAROSTA DO
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
DR. ATILIO R ROSCHER MD
Emergency Medicine
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
MS. JERI LYNN FLYNN MPH,RD,CHES
Dietitian, Registered
185 ROSEBERRY ST, 185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700
YING SUN CRNA
Nurse Anesthetist, Certified Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (610) 954-5810
SARA VINCENZI RD, LDN
Dietitian, Registered
185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 859-6700

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 Karissa Kormandy's NPI number?

The NPI number for Karissa Kormandy is 1366993370. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Karissa Kormandy located?

Karissa Kormandy practices at 185 Roseberry St, Phillipsburg, NJ 08865. The listed phone number is (484) 526-6643.

What is Karissa Kormandy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karissa Kormandy enrolled in Medicare?

Yes. Karissa Kormandy 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.

What insurance does Karissa Kormandy accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Karissa Kormandy 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 Karissa Kormandy affiliated with any hospitals?

According to CMS data, Karissa Kormandy is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Karissa Kormandy was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.