Crista Prates, DNP
NPI 1023531571 · Adult Health Nurse Practitioner · Toms River, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crista Prates, DNP is a Adult Health Nurse Practitioner provider in Toms River, NJ (NPI 1023531571).
Provider details
- NPI number
- 1023531571
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61888 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
300 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 196 | $118 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 47 | $15 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 24 | $154 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 18 | $63 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 15 | $167 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 465 | 163 |
| Methotrexate Sodiumbrand: Methotrexate | 461 | 137 |
| Prednisone | 448 | 157 |
| Gabapentin | 154 | 41 |
| Duloxetine Hcl | 140 | 40 |
| Allopurinol | 116 | 37 |
| Folic Acid | 101 | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$216 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1666 Route 12 Ste 13aGales Ferry, CT 06335-1541Phone: (860) 245-9689Fax: (888) 637-9906
Registry dates
- Enumerated
- 2017-07-17
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Frequently asked questions
- What is Crista Prates's NPI number?
- Crista Prates's National Provider Identifier (NPI) is 1023531571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crista Prates's specialty?
- Crista Prates is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Crista Prates located?
- Crista Prates's practice location on file with NPPES is 1268 Route 37 W, Toms River, NJ 08755-4999.
- What is Crista Prates's phone number?
- The practice phone number listed in the NPPES registry for Crista Prates is (732) 602-4480.
- Does Crista Prates accept Medicare?
- Crista Prates is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Crista Prates's NPI active?
- Yes — Crista Prates's NPI (1023531571) is active in the NPPES registry as of the last update on 2026-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.