Individual provider Active NPI

Nicole Danielle Lorenz, M.D.

  • Surgery Physician
  • New Hartford, NY
National Provider Identifier
1073719639
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
327194 Issued in NY
Practice address
4401 Middle Settlement Rd Ste 210
New Hartford, NY 13413-5332
Phone
(315) 738-4901
Fax
(315) 624-7699
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD156731 OR
Surgery Physician 208600000X 76921 MT
Surgery Physician 208600000X 4301090377 MI
Surgery Physician 208600000X 327194 NY Primary

Addresses

Primary practice location

4401 Middle Settlement Rd Ste 210
New Hartford, NY 13413-5332

Mailing address

4401 Middle Settlement Rd Ste 210
New Hartford, NY 13413-5332
Phone (315) 738-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120905000050 OR Practitioner - General Surgery 8426205006 Reassigns benefits to 1 organization
I20240201001104 NY Practitioner - General Surgery 8426205006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

4401 Middle Settlement Rd
New Hartford, NY 13413-5331
Phone (315) 733-1148

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue813
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327194NYMDLicensed Practical Nurse
4301090377MIMDSurgery Physician
76921MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Feb 1, 2024 Accepting new patients
Silverton Health CurrentSince Aug 1, 2012 Accepting new patients
MVHS Inc CurrentSince Feb 1, 2024 Accepting new patients
Silverton Health CurrentSince Aug 1, 2012 Accepting new patients
Silverton Health Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

4401 Middle Settlement Rd
Ste 210
New Hartford, NY 13413
Phone (315) 738-4901

4401 Middle Settlement Rd
New Hartford, NY 13413
Phone (315) 734-3471

2215 Genesee St
#105
Utica, NY 13501

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

450 Welch St
Silverton, OR 97381
Phone (503) 873-5310

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

Interoperability endpoints

  • Direct secure messaging: nlorenz44758@mvhealthsystem.direct-ci.com

Organizations & group practices 6

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1073719639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD STE 210",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135332",
            "telephone_number": "315-738-4901",
            "fax_number": "315-624-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD STE 210",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135332",
            "telephone_number": "315-738-4901",
            "fax_number": "315-624-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD156731",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "76921",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301090377",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "327194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.