Individual provider Active NPI

Rebecca Lynn Dorn, FNP-C

  • Family Nurse Practitioner
  • Hamilton, NY
National Provider Identifier
1083262901
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344426-1 Issued in NY
Practice address
164 Broad St
Hamilton, NY 13346-9575
Phone
(315) 648-6408
NPI assigned
Sep 4, 2019
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 F344426-1 NY Primary

Addresses

Primary practice location

164 Broad St
Hamilton, NY 13346-9575

Mailing address

2085 State Route 31
Canastota, NY 13032-4265
Phone (518) 848-8067

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
I20200427002211 NY Practitioner - Nurse Practitioner 6507296902 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344426-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital, Inc CurrentSince May 13, 2024 Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Apr 22, 2020 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Apr 22, 2020 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince May 13, 2024 Accepting new patients
Community Memorial Hospital CurrentSince Jul 12, 2022 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Feb 15, 2021 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Zaki Badawy, MD PC CurrentSince Feb 20, 2024 Accepting new patients
Community Memorial Hospital CurrentSince Jul 12, 2022 Accepting new patients
Chenango Memorial Hospital, Inc. Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

5586 Legionnaire Dr
Ste 3
Cicero, NY 13039
Phone (315) 632-6066

6333 State Route 298
Ste 102
East Syracuse, NY 13057
Phone (315) 760-5036

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

8100 Oswego Rd
Ste 140
Liverpool, NY 13090
Phone (315) 470-7364

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

109 Genesee St
Oneida, NY 13421
Phone (315) 231-5530

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Organizations & group practices 10

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 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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1083262901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 STATE ROUTE 31",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324265",
            "telephone_number": "518-848-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133469575",
            "telephone_number": "315-648-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344426-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

Verify at the official NPI Registry.