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MS. KRISTAN PROBECK RN, MS, ANP
NPI 1780944363
Nurse Practitioner - Adult Health in Medford, NY

Active since May 17, 2012PECOS EnrolledAccepts Medicare Assignment
1743 NORTH OCEAN AVE, MEDFORD, NY 11763(631) 758-3100 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kristan Probeck Rn, Ms, Anp NPPES

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

MS. KRISTAN PROBECK RN, MS, ANP (NPI 1780944363) is an individual adult health provider in Medford, New York, licensed in New York (30 305525) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1780944363
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. KRISTAN PROBECKCredential: RN, MS, ANP
Location Address1743 NORTH OCEAN AVEMedford, NY 11763
Mailing Address100 Nicholls Rd, Hsc 19-090 Department Of Vascular SurgeryStony Brook, NY 11794-0001 · (631) 444-5454
Phone(631) 758-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 17, 2012
Last NPPES UpdateMarch 1, 2016
✔ NPI 1780944363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 30 305525
Also ListedRegistered NurseTaxonomy 163W00000X · License 544021 (NY)
1743 NORTH OCEAN AVE, Medford, NY 11763
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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

Ms. Kristan Probeck Rn, Ms, Anp 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 ID3779883053
PECOS Enrollment IDI20161101000364
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 2

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 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.
89 services64 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11763 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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kristan Probeck's NPI number?

The NPI number for Kristan Probeck is 1780944363. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Kristan Probeck located?

Kristan Probeck practices at 1743 North Ocean Ave, Medford, NY 11763. The listed phone number is (631) 758-3100.

What is Kristan Probeck's specialty?

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

Is Kristan Probeck enrolled in Medicare?

Yes. Kristan Probeck 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 Kristan Probeck was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.