Individual provider Active NPI

Caitlin M Treacy

  • Acute Care Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1114441144
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431166 Issued in NY
Practice address
2600 Netherland Ave Apt 2123
Bronx, NY 10463-4825
Phone
(914) 715-4505
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 637106-1 NY
Acute Care Nurse Practitioner 363LA2100X 431166 NY Primary

Addresses

Primary practice location

2600 Netherland Ave Apt 2123
Bronx, NY 10463-4825

Mailing address

2600 Netherland Ave Apt 2123
Bronx, NY 10463-4825
Phone (914) 715-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171226001706 NY Practitioner - Nurse Practitioner 3577821487 Reassigns benefits to 7 organizations
I20241014003452 NJ Practitioner - Nurse Practitioner 3577821487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mskcc Radiology GroupGroup PAC ID 3971494683, 192 clinicians
Memorial Hematology Lymphoma GroupGroup PAC ID 7113816489, 215 clinicians
MSK BergenGroup PAC ID 1456614114, 254 clinicians
MSK HarrisonGroup PAC ID 1052634045, 134 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

225 Summit Ave
Montvale, NJ 07645-1523
Phone (908) 542-3336

500 Westchester Ave
West Harrison, NY 10604-3200
Phone (212) 639-2000

530 E 74TH St
New York, NY 10021-3402
Phone (212) 639-2000

Hospital & facility affiliations

  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
74.7
Improvement activities
40
Cost
69.14

Merit-based Incentive Payment System (MIPS)

Final score
80.37 of 100Reported as group
Quality
71.5
Improvement activities
40
Cost
70.5

Merit-based Incentive Payment System (MIPS)

Final score
65.9 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
79.57 of 100Reported as group
Quality
70.48
Improvement activities
40
Cost
69.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
637106-1NYMDRegistered Nurse
431166NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Bergen CurrentSince Jul 19, 2024 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Jul 19, 2024 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Jul 19, 2024 Accepting new patients
Mskcc Radiology Group CurrentSince Mar 1, 2020 Accepting new patients
Memorial Developmental Chemo Group CurrentSince May 7, 2023 Accepting new patients
Mskcc Clinical Practice Plan CurrentSince May 4, 2025 Accepting new patients
Memorial Urgent Care Group CurrentSince Jul 19, 2024 Accepting new patients
MSK Harrison CurrentSince Jul 19, 2024 Accepting new patients
Memorial Anesthesiology Group CurrentSince Oct 28, 2017 Accepting new patients
Mskcc Clinical Practice Plan CurrentSince May 4, 2025 Accepting new patients

Locations

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ctreacy41967@mskcc.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114441144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE APT 2123",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634825",
            "telephone_number": "914-715-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NETHERLAND AVE APT 2123",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634825",
            "telephone_number": "914-715-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREACY",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "637106-1",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.