Individual provider Active NPI

Hannah Goldwater, FNP

  • Nurse Practitioner
  • Rhinebeck, NY
National Provider Identifier
1063283828
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
352714 Issued in NY
Practice address
6511 Spring Brook Ave Ste 102
Rhinebeck, NY 12572-3709
Phone
(845) 876-3003
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 352714 NY Primary

Addresses

Primary practice location

6511 Spring Brook Ave Ste 102
Rhinebeck, NY 12572-3709

Mailing address

157 Smith Ave
Kingston, NY 12401-3615
Phone (917) 439-3854

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
I20240404003608 NY Practitioner - Nurse Practitioner 1557709805 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
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

6511 Spring Brook Ave
Suite 102
Rhinebeck, NY 12572-3709
Phone (845) 876-3003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
352714NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Nurse Practitioner CurrentSince May 20, 2024 Accepting new patients

Locations

1240 Ulster Ave
Kingston, NY 12401
Phone (845) 443-8720

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Ste 102
Rhinebeck, NY 12572
Phone (845) 454-1942

6511 Spring Brook Ave
Ste 1004
Rhinebeck, NY 12572
Phone (845) 871-4275

Organizations & group practices 1

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1063283828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SMITH AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013615",
            "telephone_number": "917-439-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE STE 102",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-876-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWATER",
        "first_name": "HANNAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "352714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.