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

Kristie Poncelet

Individual provider Family Nurse Practitioner · NPI 1538863402

Kristie Poncelet is a Nurse Practitioner in Vestal, New York. Qualified in 2022, 4 years ago. Practices with Smith Allergy and Asthma of Central New York PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

4100 Vestal Rd
Vestal, NY 13850-3524
Phone: (607) 794-5790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350284 (NY)

Record details

NPI number1538863402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address4100 Vestal Rd, Vestal, NY 13850-3524

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Smith Allergy And Asthma Of Central New York Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vestal