Dr Crista C Prates, DNP - Medicare Nurse Practitioner in Toms River, NJ

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Dr Crista C Prates, DNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Toms River, New Jersey. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and her current practice location is 1268 Route 37 W, Toms River, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 602-4480.

Dr Crista C Prates is licensed to practice in Connecticut (license number 7283) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023531571.

Contact Information

Dr Crista C Prates, DNP
1268 Route 37 W,
Toms River, NJ 08755-4999
(732) 602-4480
Not Available

Map and Direction




Provider's Profile

Full NameDr Crista C Prates
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1268 Route 37 W, Toms River, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Crista C Prates graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1023531571
  • Provider Enumeration Date: 07/17/2017
  • Last Update Date: 09/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7618235920
  • Enrollment ID: I20171214001202

Medical Identifiers

Medical identifiers for Dr Crista C Prates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023531571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 61888 (Connecticut)Secondary
363LA2200XNurse Practitioner - Adult Health 7283 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
William W Backus HospitalNorwich, CTHospital
Lawrence & Memorial HospitalNew london, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Specialists Pllc31738662411329

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. Dr Crista C Prates allows following entities to bill medicare on her behalf.
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407806391
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000700
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752
Entity NameWindham Community Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023191467
PECOS PAC ID: 2961309059
Enrollment ID: O20031217000231
Entity NameThe William W Backus Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Dr Crista C Prates 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
Dr Crista C Prates, DNP
Po Box 40409,
Belfast, ME 04915-1255

Ph: (732) 602-4480		Dr Crista C Prates, DNP
1268 Route 37 W,
Toms River, NJ 08755-4999

Ph: (732) 602-4480

Reviews and Comments


Nurse Practitioner Nurses in Toms River, NJ

Eleanor C Dominguez-curatolo, NP
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Practice Location: 111 W Water St, Toms River, NJ 08753
Phone: 732-731-6218    Fax: 732-244-8482
Grant Marshall Myers, PMHNP-BC
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Practice Location: 509 Main Street, Bldg A, 2nd Floor, Suite B, Toms River, NJ 08753
Phone: 732-301-6904    Fax: 732-605-5771
Jennifer Manzo, APN
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Phone: 732-797-3824    Fax: 732-797-3812
Mrs. Lalaine Genuino, APN
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Medicare: Medicare Enrolled
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Phone: 732-557-0100    Fax: 732-557-0128
Sarah B Schwartz, APN
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Phone: 732-557-8283    
Andrea D Lynn, FNP-BC
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Practice Location: 10 Stockton Dr, Toms River, NJ 08755
Phone: 732-363-6655    
Kelly St. Marie, MSN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2360 Lakewood Rd, Toms River, NJ 08755
Phone: 732-719-7788    

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.