KRYSTLE CALLAN
NPI 1497592299
Nurse Practitioner - Adult Health in West Islip, NY

Active since July 10, 2024PECOS EnrolledAccepts Medicare Assignment
111 BEACH DR, WEST ISLIP, NY 11795(631) 417-8643 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krystle Callan NPPES

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

KRYSTLE CALLAN (NPI 1497592299) is an individual adult health provider in West Islip, New York, licensed in New York (F311860-01) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497592299
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKRYSTLE CALLAN
Location Address111 BEACH DRWest Islip, NY 11795-4929
Mailing Address195 Massachusetts AveMassapequa, NY 11758-4218 · (516) 737-2093
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
NPI 1497592299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F311860-01
111 BEACH DR, West Islip, NY 11795

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Krystle Callan 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 ID5395270524
PECOS Enrollment IDI20241126000283
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.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Hematology & Oncology)
111 BEACH DR
WEST ISLIP, NY 11795
Nurse Practitioner (Adult Health)
111 BEACH DR
WEST ISLIP, NY 11795
Surgery
111 BEACH DR
WEST ISLIP, NY 11795
Skilled Nursing Facility
111 BEACH DR
WEST ISLIP, NY 11795
Nurse Practitioner (Adult Health)
111 BEACH DR
WEST ISLIP, NY 11795
Licensed Practical Nurse
111 BEACH DR, OUR LADY OF CONSOLATION
W ISLIP, NY 11795
Nurse Practitioner (Adult Health)
111 BEACH DR, MEDICAL STAFF OFFICE
WEST ISLIP, NY 11795
Home Health
111 BEACH DR
WEST ISLIP, NY 11795

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 Krystle Callan's NPI number?

The NPI number for Krystle Callan is 1497592299. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Krystle Callan located?

Krystle Callan practices at 111 Beach Dr, West Islip, NY 11795. The listed phone number is (631) 417-8643.

What is Krystle Callan's specialty?

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

Is Krystle Callan enrolled in Medicare?

Yes. Krystle Callan 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.

Is Krystle Callan affiliated with any hospitals?

According to CMS data, Krystle Callan is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Krystle Callan was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.