Individual provider Active NPI

Laurel E Colvin, FNP-C

  • Family Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1104499854
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351287 Issued in NY
Practice address
128 Boynton Ave
Plattsburgh, NY 12901-1237
Phone
(518) 324-3399
NPI assigned
Jul 21, 2021
Last updated
May 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351287 NY Primary
Registered Nurse 163W00000X 735763 NY

Addresses

Primary practice location

128 Boynton Ave
Plattsburgh, NY 12901-1237

Mailing address

128 Boynton Ave
Plattsburgh, NY 12901-1237
Phone (518) 324-3399

Other practice location 1

65 W 36th St
New York, NY 10018-7902
Phone (888) 803-3370

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
I20230428002121 NY Practitioner - Nurse Practitioner 6204201122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

128 Boynton Ave
Plattsburgh, NY 12901-1237

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
735763NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of New York PC CurrentSince Oct 23, 2025 Accepting new patients
In Health Family Medicine PC CurrentSince Apr 1, 2023 Accepting new patients
Champlain Valley Education Services PastSince Jul 1, 2021 Accepting new patients
Dr Richard J D'Amico DO PC PastSince Aug 1, 2017 Accepting new patients
Clinton Essex Warren Washington Boces PastSince Jul 1, 2021 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

156 William St
Rm 303
New York, NY 10038
Phone (813) 955-6329

74 Margaret St
Plattsburgh, NY 12901
Phone (518) 324-3074

96 Court St
Plattsburgh, NY 12901
Phone (518) 561-2281

Interoperability endpoints

  • Direct secure messaging: lcolvin@drambler.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1104499854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BOYNTON AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011237",
            "telephone_number": "518-324-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BOYNTON AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011237",
            "telephone_number": "518-324-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 W 36th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187902",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "LAUREL",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351287",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "735763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.