Individual provider Active NPI

Tanya Powell, A-GP-C

  • Nurse Practitioner
  • Albany, NY
National Provider Identifier
1043965148
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
310660 Issued in NY
Practice address
242 Hackett Blvd
Albany, NY 12209-1139
Phone
(518) 227-4928
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 310660 NY Primary

Addresses

Primary practice location

242 Hackett Blvd
Albany, NY 12209-1139

Mailing address

242 Hackett Blvd
Albany, NY 12209-1139
Phone (518) 227-4928

Other practice location 1

1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074
Phone (518) 348-3176

Other names 1

  • Tanya Powell Professional name

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
I20220701001384 NY Practitioner - Nurse Practitioner 7719367135 Reassigns benefits to 3 organizations

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
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

3230 Church St
Valatie, NY 12184-2303
Phone (646) 296-1508

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
310660NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onecollective Health LLC CurrentSince Apr 20, 2025 Accepting new patients
Mill Basin Medical Health PC CurrentSince Feb 2, 2026 Accepting new patients
Ny Medical Factor, P.C. CurrentSince Jul 1, 2025 Accepting new patients
Burdett Orthopedics, PC CurrentSince Sep 15, 2025 Accepting new patients

Locations

507 S Douglas St
Fl 3
El Segundo, CA 90245

1100 Glendon Ave
Ste 1555
Los Angeles, CA 90024
Phone (669) 342-9449

100 Church St
Fl 8
New York, NY 10007
Phone (646) 357-3609

2200 Burdett Ave
Ste 202
Troy, NY 12180
Phone (518) 272-0122

Interoperability endpoints

  • Direct secure messaging: tpowell@landmarkhealth-direct.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1043965148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091139",
            "telephone_number": "518-227-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091139",
            "telephone_number": "518-227-4928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Troy Schenectady Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121101074",
            "country_code": "US",
            "telephone_number": "518-348-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TANYA",
        "credential": "A-GP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "310660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "POWELL",
            "credential": "A-GP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.