KRISTINA WAY (AGPCNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1952020406

KRISTINA WAY (AGPCNP, PMHNP-BC) is a healthcare provider. based in Ridgewood, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP, PMHNP-BC. They hold a License No. 309685 (NY). The NPI Number for KRISTINA WAY (AGPCNP, PMHNP-BC) is 1952020406

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA WAY (AGPCNP, PMHNP-BC)
NPI
1952020406
Phone
(201) 470-4006
Address
171 E Ridgewood Ave
Enumeration Date
26 August 2022
Last Update Date
4 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018644897
Graduation Year
2022 (4 years ago)
PAC ID
0749645042
Group Practice PAC ID
7315077120
Professional Enrollment ID
I20230420000115
Address ID
NJ070931420WE6000XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for KRISTINA WAY (AGPCNP, PMHNP-BC)

  • 171 E Ridgewood Ave

    Ridgewood, NJ 074503865

    Phone: (201) 470-4006

    Type: Location

  • 614 PENNSYLVANIA AVE APT 2

    ELIZABETH, NJ 072011265

    Phone: (973) 592-5750

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $498.

Total Amount is formed as General ($498) + Research ($0) + Ownership ($0) = $498.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($150).

Total Amount

$498

General + Research + Ownership

Payments

4

Total payment records

General Amount

$498

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230420000115INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315077120View full group profile
NameSpecialtyState
Nurse PractitionerNY
Geriatric PsychiatryNY
Clinical Social WorkerNY
Clinical Social WorkerNJ
Psychiatry, Addiction MedicineNJ

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTINA WAY (AGPCNP, PMHNP-BC)'s NPI?
Yes. KRISTINA WAY (AGPCNP, PMHNP-BC) is listed with NPI 1952020406 in the public NPI dataset.
Does the file indicate KRISTINA WAY (AGPCNP, PMHNP-BC) is practicing under active NPI?
Directory data currently reports KRISTINA WAY (AGPCNP, PMHNP-BC) as active.
What is KRISTINA WAY (AGPCNP, PMHNP-BC) best known for clinically?
Directory data describes KRISTINA WAY (AGPCNP, PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KRISTINA WAY (AGPCNP, PMHNP-BC) based?
KRISTINA WAY (AGPCNP, PMHNP-BC) is tied to Ridgewood, New Jersey in the data we show; additional addresses may exist on the full record.
Is the information about KRISTINA WAY (AGPCNP, PMHNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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