Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christianne Supan

Individual provider Nurse Practitioner · NPI 1225448129

Christianne Supan is a Nurse Practitioner in New York, New York. Qualified in 2013, 13 years ago. Practices with MSKCC Clinical Practice Plan, a 87-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (732) 735-1898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (212) 263-7300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F430802-1 (NY)

Record details

NPI number1225448129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESFebruary 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mskcc Clinical Practice Plan — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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