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

MS. Kristan Probeck, RN, MS, ANP

Individual provider Registered Nurse · NPI 1780944363

MS. Kristan Probeck, RN, MS, ANP is a Nurse Practitioner in Medford, New York. Qualified in 2010, 16 years ago. Practices with Chs Physician Partners PC, a 747-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1743 N Ocean Ave
Medford, NY 11763
Phone: (631) 758-3100
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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 30 305525 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 544021 (NY)

Record details

NPI number1780944363
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MS , ANP
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESMarch 1, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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