MAYRA CRESPO (APN) – Family Nurse Practitioner, NPI 1376965616
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MAYRA CRESPO (APN)
200 MAIN ST
RIDGEFIELD PARK, NJ 076601649
Phone: (201) 870-6099
Fax: (201) 870-6098
Type: Mailing
1680 ROUTE 23 STE 120
WAYNE, NJ 074707520
Phone: (973) 305-1400
Type: Mailing
1680 RTE 23
WAYNE, NJ 074707501
Phone: (973) 305-1400
Type: Location
515 N WOOD AVE STE 201
LINDEN, NJ 070364173
Phone: (908) 583-5630
Fax: (908) 583-5631
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $397.
Total Amount is formed as General ($397) + Research ($0) + Ownership ($0) = $397.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($217).
Total Amount
$397
General + Research + Ownership
Payments
11
Total payment records
General Amount
$397
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $217 |
| MERZ NORTH AMERICA, INC. | $128 |
| Merz North America, Inc. | $18 |
| Galderma Laboratories, L.P. | $17 |
| REVANCE THERAPEUTICS, INC. | $16 |
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: 2014-04-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140414001107 | I | Nurse Practitioner | NJ | TBD |
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.
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 07660)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NJ | 90670 | Pneumococcal vaccine for injection into muscle | 49 | 49 |
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