Individual provider Active NPI

Natalie Dennen, ATC, PA-C

  • Physician Assistant
  • Oregon, OH
National Provider Identifier
1043273998
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006254RX Issued in OH
Practice address
3316 Navarre Ave Ste F
Oregon, OH 43616-3301
Phone
(419) 291-1420
Fax
(419) 214-3841
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT341 ME
Physician Assistant 363A00000X PA1702 ME
Physician Assistant 363A00000X 50.006254RX OH Primary

Addresses

Primary practice location

3316 Navarre Ave Ste F
Oregon, OH 43616-3301

Mailing address

1 Seagate # 800
Toledo, OH 43604-1558
Phone (419) 291-1420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndennen349690@direct.rochesterregional.org

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
I20220803001185 NY Practitioner - Physician Assistant 9830462811 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

201 Market St
Suite E
Potsdam, NY 13676-1218
Phone (315) 274-9102

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone (315) 261-5525

80 E Main St
Canton, NY 13617-1450
Phone (315) 386-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AT341MEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Massena Hospital, Inc CurrentSince Jul 18, 2022 Accepting new patients
Gouverneur Hospital CurrentSince Jul 18, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jul 18, 2022 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Past Accepting new patients

Locations

80 E Main St
Canton, NY 13617
Phone (315) 261-6034

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

49 Lawrence Ave
Potsdam, NY 13676
Phone (315) 261-5550

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

Interoperability endpoints

  • Direct secure messaging: ndennen349690@direct.rochesterregional.org

Organizations & group practices 8

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1043273998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE # 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "419-291-1420",
            "fax_number": "419-214-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 NAVARRE AVE STE F",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163301",
            "telephone_number": "419-291-1420",
            "fax_number": "419-214-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNEN",
        "first_name": "NATALIE",
        "credential": "ATC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT341",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1702",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006254RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndennen349690@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "50 L eroy St",
            "city": "Potsdam",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.