Krystal Plummer, PMHNP-BC - Medicare Nurse Practitioner in North Babylon, NY

Krystal Plummer, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in North Babylon, New York. Her current practice location is 1301 Deer Park Ave, North Babylon, New York. You can reach out to her office (for appointments etc.) via phone at (631) 358-0848.

Krystal Plummer is licensed to practice in New York (license number 402475) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225399264.

Contact Information

Krystal Plummer, PMHNP-BC
1301 Deer Park Ave,
North Babylon, NY 11703-2728
(631) 358-0848
(631) 669-8532

Map and Direction




Provider's Profile

Full NameKrystal Plummer
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1301 Deer Park Ave, North Babylon, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225399264
  • Provider Enumeration Date: 06/06/2012
  • Last Update Date: 04/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820339575
  • Enrollment ID: I20190408001650

Medical Identifiers

Medical identifiers for Krystal Plummer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225399264NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 630216 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 402475 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krystal Plummer allows following entities to bill medicare on her behalf.
Entity NameStony Brook Psychiatric Associates University Faculty Practice Corpor
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105905
PECOS PAC ID: 7315836731
Enrollment ID: O20040313000174

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krystal Plummer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krystal Plummer, PMHNP-BC
1301 Deer Park Ave,
North Babylon, NY 11703-2728

Ph: (631) 358-0848
Krystal Plummer, PMHNP-BC
1301 Deer Park Ave,
North Babylon, NY 11703-2728

Ph: (631) 358-0848

Reviews and Comments


Nurse Practitioner Nurses in North Babylon, NY

Lorraine Ivette Belevan,
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Practice Location: 92 Drakeford Ave, North Babylon, NY 11703
Phone: 631-897-9897    
Nicolle A Bergin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703
Phone: 631-667-0388    Fax: 631-968-7705
Mrs. Julie Devuono, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 925 Deer Park Ave, North Babylon, NY 11703
Phone: 631-661-1200    
Francisca Owusu,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1560 August Rd, North Babylon, NY 11703
Phone: 516-444-7673    
Christopher Ventura, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703
Phone: 631-667-0388    Fax: 631-968-7705
Melissa Pierre,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 Bayshore Road, North Babylon, NY 11703
Phone: 631-586-2700    Fax: 631-491-8613
Amy Wenz,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703
Phone: 631-667-0388    Fax: 631-968-7705

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.