Individual provider Active NPI

Michaela Duffy McCargar, FNP

  • Family Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1023764487
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349048 Issued in NY
Practice address
20053 Summit View Blvd Ste 1
Watertown, NY 13601-2170
Phone
(315) 755-2560
Fax
(315) 755-2597
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F349048 NY Primary

Addresses

Primary practice location

20053 Summit View Blvd Ste 1
Watertown, NY 13601-2170

Mailing address

23663 County Route 59
Dexter, NY 13634-2075
Phone (315) 836-5162

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
I20230126002670 NY Practitioner - Nurse Practitioner 0648641860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Nurse Practitioners-Family Health PLLCGroup PAC ID 2668451998, 5 clinicians

Practice addresses (Care Compare)

19472 US Route 11
Watertown, NY 13601-6897
Phone (315) 786-1924

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as group
Quality
74.26
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F349048NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nurse Practitioners - Family Health PLLC Single Specialty CurrentSince Oct 19, 2022 Accepting new patients
Jill M Laureano Surber DO PC Single Specialty CurrentSince Jul 28, 2026 Accepting new patients
Eye Plastic and Reconstructive Surgery of Cny PC Single Specialty PastSince Jul 28, 2026 Accepting new patients

Locations

19472 US Route 11
Ste N101
Watertown, NY 13601
Phone (315) 422-3937

19472 US Route 11
Ste N
Watertown, NY 13601
Phone (315) 786-1924

20053 Summit View Blvd
Ste 1
Watertown, NY 13601
Phone (315) 755-2560

19472 US Route 11
Watertown, NY 13601
Phone (315) 782-6126

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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1023764487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23663 COUNTY ROUTE 59",
            "city": "DEXTER",
            "state": "NY",
            "postal_code": "136342075",
            "telephone_number": "315-836-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20053 SUMMIT VIEW BLVD STE 1",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012170",
            "telephone_number": "315-755-2560",
            "fax_number": "315-755-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARGAR",
        "first_name": "MICHAELA",
        "middle_name": "DUFFY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.