MS. KRISTYN M MINNICK CRNA
NPI 1720424906
Registered Nurse in New York, NY
About Ms. Kristyn M Minnick Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTYN M MINNICK CRNA (NPI 1720424906) is an individual registered nurse in New York, New York, licensed in New York (595419) and active in the NPI registry since May 2013. She is a graduate of Perelman School Of Med At The University Of Pennsylvania (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Ms. Kristyn M Minnick Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kristyn Minnick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 482 clinicians in this Medicare group
New York, NY 10016
- Reassigned Medicare billing, New York enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
NEW YORK, NY 10065
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 Kristyn Minnick's NPI number?
The NPI number for Kristyn Minnick is 1720424906. It was assigned to this individual provider in the NPPES registry on May 15, 2013.
Where is Kristyn Minnick located?
Kristyn Minnick practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.
What is Kristyn Minnick's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Kristyn Minnick enrolled in Medicare?
Yes. Kristyn Minnick 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.
Which organizations bill Medicare for Kristyn Minnick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristyn Minnick reassigns Medicare benefits to 2 organizations: Memorial Anesthesiology Group (New York, NY) and Eastside Alliance Medical Associates, P.C. (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristyn Minnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristyn Minnick was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Kristyn M Minnick, CRNA · NPI 1720424906
Registered Nurse provider in New York, New York. Individual provider, active in the CMS NPPES registry since May 15, 2013.
## Identity
- **NPI:** 1720424906 (Entity type: Individual)
- **Enumerated:** May 15, 2013
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 595419 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorial Anesthesiology Group (NPI 1467423020, New York, NY); Eastside Alliance Medical Associates, P.C. (NPI 1619136595, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Perelman School Of Med At The University Of Pennsylvania, class of 2013
## Record status
- **NPPES last updated:** November 12, 2019
- **Other identifiers:** Medicaid 1720424906 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720424906) · Data from the CMS NPPES public registry.