Individual provider Active NPI

Madeline Anne Naegle, APRN-BC, PH.D.

  • Psychiatric/Mental Health Registered Nurse
  • New York, NY
National Provider Identifier
1073717484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
175701 Issued in NY
Practice address
19 E 95TH St
4F
New York, NY 10128-0710
Phone
(212) 876-9517
Fax
(212) 995-4679
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 175701 NY Primary

Addresses

Primary practice location

19 E 95TH St
4F
New York, NY 10128-0710

Mailing address

19 E 95TH St
New York, NY 10128-0710
Phone (212) 876-9517

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
I20221012000694 NY Practitioner - Certified Clinical Nurse Specialist (CNS) 7517352990 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 E 89TH St
New York, NY 10128-2305
Phone (212) 876-9517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
175701NYMDPsychiatric/Mental Health Registered Nurse

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Floating Hospital IncLong Island City, NY, CCN 331982 Federally qualified health center Corporate Officer Feb 26, 2020
The Floating Hospital IncBrooklyn, NY, CCN 331117 Federally qualified health center Corporate Officer Feb 26, 2020
The Floating Hospital IncBronx, NY, CCN 571177 Federally qualified health center Corporate Officer Feb 26, 2020
The Floating Hospital Inc.-LegacyBrooklyn, NY, CCN 571874 Federally qualified health center Corporate Officer Feb 26, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073717484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E 95TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280710",
            "telephone_number": "212-876-9517",
            "fax_number": "212-995-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E 95TH ST",
            "address_2": "4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280710",
            "telephone_number": "212-876-9517",
            "fax_number": "212-995-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEGLE",
        "first_name": "MADELINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "APRN-BC, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "175701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.