NPIMap

Individual provider Active NPI

Evan Markessinis, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Glens Falls, NY
National Provider Identifier
1023505880
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022084 Issued in NY
Practice address
100 Park St
Glens Falls, NY 12801-4447
Phone
(518) 926-1000
NPI assigned
Apr 17, 2018
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 022084 NY Primary

Addresses

Primary practice location

100 Park St
Glens Falls, NY 12801-4447

Mailing address

100 Park St
Glens Falls, NY 12801-4447
Phone (151) 833-4657

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evan.markessinis@cdirectglensfallshosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627001184 NY Practitioner - Physician Assistant 8628324035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000

79 N St
Granville Medical Center
Granville, NY 12832-1137
Phone (518) 642-0612

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
022084NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Physician Assistant CurrentSince Jul 1, 2021 Accepting new patients
Glens Falls Hospital Inc. CurrentSince Feb 1, 2022 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2021 Accepting new patients
Albany Medical College Physician Assistant Current Accepting new patients
Albany Medical College CurrentSince Jul 1, 2021 Accepting new patients
Glens Falls Hospital Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

43 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3131

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

Interoperability endpoints

  • Direct secure messaging: emarkessinis95428@albanymed.direct-ci.com

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1023505880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014447",
            "telephone_number": "151-833-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014447",
            "telephone_number": "518-926-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKESSINIS",
        "first_name": "EVAN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evan.markessinis@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.