CHRISTINA MARIE CLANCY NP
NPI 1790421527
Nurse Practitioner - Family in Bronx, NY

Q: What is Christina Clancy's NPI number?

The NPI number for Christina Clancy is 1790421527. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Q: What is Christina Clancy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Christina Clancy was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 05, 2022PECOS Enrolled

3415 BAINBRIDGE AVE, BRONX, NY 10467(205) 616-7454 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 10, 2022, May 5, 2022 (2 updates tracked since 2022).

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About Christina Marie Clancy Np NPPES

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

CHRISTINA MARIE CLANCY NP (NPI 1790421527) is an individual family provider in Bronx, New York, licensed in New York (350049) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790421527

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHRISTINA MARIE CLANCYCredential: NP

Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403

Mailing Address35 Greenwood AvePort Chester, NY 10573-5020 · (205) 616-7454

Phone(205) 616-7454

Sole ProprietorNo

Enumeration DateMay 5, 2022

Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration

NPPES CertifiedNovember 10, 2022

✔ NPI 1790421527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 350049

3415 BAINBRIDGE AVE, Bronx, NY 10467

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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 (PECOS)

Christina Marie Clancy Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10467 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 20

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

MRS. ASHLEY RAE NOBOA MSN, FNP-C

Nurse Practitioner (Family)