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CRYSTAL SIPLEY FNP
NPI 1912492893
Nurse Practitioner in New Hartford, NY

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
1729 BURRSTONE RD, NEW HARTFORD, NY 13413(315) 798-1668(315) 798-1536 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Sipley Fnp NPPES

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

CRYSTAL SIPLEY FNP (NPI 1912492893) is an individual nurse practitioner in New Hartford, New York, licensed in New York (343125) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912492893
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCRYSTAL SIPLEYCredential: FNP
Location Address1729 BURRSTONE RDNew Hartford, NY 13413
Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1668 · Fax (315) 798-1536
Phone(315) 798-1668
Fax(315) 798-1536
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateJune 28, 2018
✔ NPI 1912492893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 343125
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.
1729 BURRSTONE RD, New Hartford, NY 13413
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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

Crystal Sipley Fnp 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 ID6305196577
PECOS Enrollment IDI20180910001175
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 8

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 moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services58 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.
51 services25 patients
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.
44 services42 patients
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.
16 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330115
Location321 Genesee StreetOneida, NY 13421 · Madison County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13413 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Improvement Activities40
Cost85.96

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers229 claims229 services$36.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers174 claims175 services$85.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers172 claims511 services$30.88 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers28 claims158 services$19.34 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers41 claims245 services$13.47 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers74 claims74 services$52.34 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.

LYNN LUTHERN PA
Physician Assistant (Medical)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1859
AMELA THOMPSON
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1808
MS. KAREN WARNER NP
Nurse Practitioner
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1543
DR. DAYAL DAVIS RAJA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1729 BURRSTONE RD, SLOCUM-DICKSON MEDICAL GROUP
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700
MELANIE PADMANABHAN FNP
Nurse Practitioner (Family)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1551
MICHAEL JOSEPH MCNULTY M.D.
Pain Medicine (Pain Medicine)
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1747
DR. GAIL JOHNSON M.D.
Internal Medicine
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700
SUZANNE W BUSCHOR PT
Physical Therapist
1729 BURRSTONE RD
NEW HARTFORD, NY 13413
Oneida County (315) 798-1700

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 Crystal Sipley's NPI number?

The NPI number for Crystal Sipley is 1912492893. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Crystal Sipley located?

Crystal Sipley practices at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1668.

What is Crystal Sipley's specialty?

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

Is Crystal Sipley enrolled in Medicare?

Yes. Crystal Sipley 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 Crystal Sipley affiliated with any hospitals?

According to CMS data, Crystal Sipley is affiliated with Wynn Hospital, Oneida Health Hospital and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Crystal Sipley was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.