Individual provider Active NPI

Michele Debrosky, FNP-BC

  • Family Nurse Practitioner
  • Kingston, NY
National Provider Identifier
1104546050
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350103-01 Issued in NY
Practice address
40 Hurley Ave Ste 4
Kingston, NY 12401-3738
Phone
(845) 338-5600
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 F350103-01 NY Primary

Addresses

Primary practice location

40 Hurley Ave Ste 4
Kingston, NY 12401-3738

Mailing address

40 Hurley Ave Ste 4
Kingston, NY 12401-3738
Phone (845) 338-5600

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
I20221129003015 NY Practitioner - Nurse Practitioner 1658749460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical PC Dba Emergency OneGroup PAC ID 0648161653, 22 clinicians

Practice addresses (Care Compare)

2555 S Rd
Poughkeepsie, NY 12601-5393
Phone (845) 330-3200

306 Windsor Hwy
New Windsor, NY 12553-6908
Phone (845) 787-1400

40 Hurley Ave
Suite 4
Kingston, NY 12401-3738
Phone (845) 338-5600

4274 Albany Post Rd
Hyde Park, NY 12538-1718
Phone (845) 229-2602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F350103-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical P.C. Dba Emergency One CurrentSince Sep 1, 2022 Accepting new patients

Locations

40 Hurley Ave
Ste 4
Kingston, NY 12401
Phone (845) 338-5600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1104546050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE STE 4",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013738",
            "telephone_number": "845-338-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE STE 4",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013738",
            "telephone_number": "845-338-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROSKY",
        "first_name": "MICHELE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350103-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.