Individual provider Active NPI

Katie Elizabeth Scanlon

  • Family Nurse Practitioner
  • Little Falls, NY
National Provider Identifier
1043691637
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339639 Issued in NY
Practice address
170 Burwell St
Little Falls, NY 13365-1716
Phone
(315) 823-4546
Fax
(315) 823-4760
NPI assigned
Jun 9, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339639 NY Primary

Addresses

Primary practice location

170 Burwell St
Little Falls, NY 13365-1716

Mailing address

PO Box 7
Salisbury Center, NY 13454-0007
Phone (315) 717-2100

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
I20151029002004 NY Practitioner - Nurse Practitioner 9436469624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Little Falls HospitalGroup PAC ID 3678550837, 17 clinicians

Practice addresses (Care Compare)

160 Burwell St
Little Falls, NY 13365-1716
Phone (315) 823-4546

170 Burwell St
Little Falls, NY 13365-1716
Phone (315) 823-4546

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339639NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Aug 31, 2015 Accepting new patients
Little Falls Hospital CurrentSince Feb 3, 2026 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 31, 2015 Accepting new patients
Little Falls Hospital Family CurrentSince Feb 3, 2026 Accepting new patients
Little Falls Hospital Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

170 Burwell St
Little Falls, NY 13365
Phone (315) 823-4546

Interoperability endpoints

  • Direct secure messaging: kscanlon39481@bassett.direct-ci.net

Organizations & group practices 5

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1043691637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "SALISBURY CENTER",
            "state": "NY",
            "postal_code": "134540007",
            "telephone_number": "315-717-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BURWELL ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651716",
            "telephone_number": "315-823-4546",
            "fax_number": "315-823-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NY

Sources for this page

Verify at the official NPI Registry.