Individual provider Active NPI

Meredith A Rubado, FNP

  • Family Nurse Practitioner
  • Ogdensburg, NY
National Provider Identifier
1114377413
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340704 Issued in NY
Practice address
725 Canton St
Ogdensburg, NY 13669-3801
Phone
(315) 605-3079
NPI assigned
Jun 16, 2016
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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 340704 NY Primary

Addresses

Primary practice location

725 Canton St
Ogdensburg, NY 13669-3801

Mailing address

725 Canton St
Ogdensburg, NY 13669-3801
Phone (315) 605-3079

Other names 1

  • Meredith A Lizotte Former name

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
I20160928002897 NY Practitioner - Nurse Practitioner 2769779156 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340704NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC CurrentSince Aug 1, 2019 Accepting new patients
River Hospital, Inc. CurrentSince Jul 30, 2016 Accepting new patients
Canton-Potsdam Hospital CurrentSince Aug 18, 2022 Accepting new patients
Gouverneur Hospital CurrentSince Aug 18, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince Aug 18, 2022 Accepting new patients
Gouverneur Hospital CurrentSince Aug 18, 2022 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jan 13, 2025 Accepting new patients
River Hospital, Inc. CurrentSince Jul 30, 2016 Accepting new patients
Lowville Medical Associates LLP CurrentSince Apr 1, 2020 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Aug 1, 2019 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

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

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

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

5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600

725 Canton St
Ogdensburg, NY 13669
Phone (315) 605-3079

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: meredithlizotte@direct-riverhospital.org
  • Direct secure messaging: mlizotte@hiemail.healtheconnections.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1114377413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CANTON ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693801",
            "telephone_number": "315-605-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CANTON ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693801",
            "telephone_number": "315-605-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBADO",
        "first_name": "MEREDITH",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "LIZOTTE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.