Nicole Michelle Elting, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F338948-1 Issued in NY

Practice address

159 Barnegat Rd FL 2
Poughkeepsie, NY 12601-5401

Phone

(845) 452-9800

Fax

(845) 452-7691

NPI assigned

Feb 21, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.elting.1@30409.direct.athenahealth.com

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.

• The Institute for Family Health

  dba Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1295729408
  Medicare reassignment Care Compare group
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• The Institute for Family Health

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1740553841
  NPD
• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1972877017
  NPD

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104218510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-592-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BARNEGAT RD FL 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015401",
            "telephone_number": "845-452-9800",
            "fax_number": "845-452-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Thornwood Dr",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126034119",
            "country_code": "US",
            "telephone_number": "845-532-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELTING",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338948-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "531856-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MEDICAID",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Ellsworth, LMSW
• Farshad Elmi, MD
• Mohamed Elmousely, M.D.
• Hossam Elnaggar
• Mohamed Abdelmoneim Eltayeb
• Kimberly Anne Emanuele, AU.D.
• Emergency Physician Services of New York, P.C.
• Katrina J Emerick
• Emma N. Arnoff, LCSW PC
• Empire State Ambulance Corp (EMStar Ambulance)

• Family Nurse Practitioner in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.