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

Crystal Ann Godfrey, AGNPPC-BC

Individual provider Adult Health Nurse Practitioner · NPI 1619762853

Crystal Ann Godfrey, AGNPPC-BC is a Nurse Practitioner in New York, New York. Qualified in 2024, 2 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

110 E 59th St Rm 8A
New York, NY 10022-1864
Phone: (212) 434-6160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F312166 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence F312166 (NY)

Record details

NPI number1619762853
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNPPC-BC
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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