Angeline McComb, NP
Individual provider Active NPI Family Nurse Practitioner · Cincinnatus, NY
NPI 1104597111 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1104597111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 359979 (NY)
- Practice address
- 2805 Cincinnatus Rd
Cincinnatus, NY 13040-9685 - Phone
- (607) 863-4126
- NPI assigned
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Binghamton University | Current |
Accepting new patients | |
| Binghamton University Health Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 359979 | NY | Yes |
Addresses
Primary practice location
2805 Cincinnatus Rd
Cincinnatus, NY 13040-9685
Mailing address
85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Homer | Health Information Exchange (HIE) |
Other providers in Cincinnatus, NY
- Robyn Garcia
- Casey Lee Holtslander
- Tiffany Ruth Kerns
- Eleanor Christine Klein
- McKayla L Maroney
- Rebecca Mae Preston
- Susan Marie Rosato
- Uzella N Scoville
- Lara L. Stover
- Margaret S Turner
All providers in Cincinnatus, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.