Individual provider Active NPI

Amy McElrath

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1013590132
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403431-01 Issued in NY
Practice address
721 Madison Ave
Albany, NY 12208-3301
Phone
(518) 279-2126
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403431-01 NY Primary

Addresses

Primary practice location

721 Madison Ave
Albany, NY 12208-3301

Mailing address

721 Madison Ave
Albany, NY 12208-3301
Phone (518) 279-2126

Other identifiers 1

IdentifierTypeStateIssuer
762824688OtherNYNYS DMV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227001071 NY Practitioner - Nurse Practitioner 9335599786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Medical Concierge Services PLLC 75 clinicians

Practice addresses (Care Compare)

1785 Route 9
Halfmoon, NY 12065-2449
Phone (518) 238-6028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F403431-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Behavioral Health Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Professional Medical Concierge Services, PLLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

721 Madison Ave
Albany, NY 12208
Phone (518) 729-2126

1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1013590132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083301",
            "telephone_number": "518-279-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083301",
            "telephone_number": "518-279-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELRATH",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403431-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DMV",
            "identifier": "762824688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.