Individual provider Active NPI

Jennifer Mehling, FNP

  • Adult Medicine Physician
  • Johnstown, NY
National Provider Identifier
1023594041
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
343312 Issued in NY
Practice address
700 S Perry St
Johnstown, NY 12095-3213
Phone
(518) 762-3161
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 343312 NY Primary

Addresses

Primary practice location

700 S Perry St
Johnstown, NY 12095-3213

Mailing address

169 Hinds Rd
Galway, NY 12074-2330
Phone (518) 788-6137

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
I20180822000106 NY Practitioner - Nurse Practitioner 0042569253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

2370 Route 67
Charlton, NY 12010-6806
Phone (518) 839-0606

380 Guy Park Ave
Amsterdam, NY 12010-1065
Phone (518) 770-7830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Healthcare CurrentSince Sep 4, 2018 Accepting new patients
St Marys Healthcare CurrentSince Sep 4, 2018 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1023594041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 HINDS RD",
            "city": "GALWAY",
            "state": "NY",
            "postal_code": "120742330",
            "telephone_number": "518-788-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PERRY ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953213",
            "telephone_number": "518-762-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLING",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "343312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

Verify at the official NPI Registry.