Individual provider Active NPI

Beverly Chartrand, NP

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1124400296
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339797-1 Issued in NY
Practice address
760 County Route 25
Oswego, NY 13126-5712
Phone
(315) 402-5229
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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 F339797-1 NY Primary

Addresses

Primary practice location

760 County Route 25
Oswego, NY 13126-5712

Mailing address

760 County Route 25
Oswego, NY 13126-5712
Phone (315) 402-5229

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
I20150922000091 NY Practitioner - Nurse Practitioner 2163739277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geriatric and Palliative Specialist PCGroup PAC ID 6103045950, 3 clinicians

Practice addresses (Care Compare)

Oswego, NY 13126
Phone (315) 216-4641

Hospital & facility affiliations

  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

Merit-based Incentive Payment System (MIPS)

Final score
70.63 of 100Reported as group
Quality
95.94
Improvement activities
0
Cost
74.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F339797-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric & Palliative Specialist PC CurrentSince May 11, 2015 Accepting new patients

Locations

17 Sunrise Dr
Oswego, NY 13126
Phone (315) 342-2440

101 W Utica St
Ste C
Oswego, NY 13126
Phone (315) 216-4641

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.

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1124400296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 COUNTY ROUTE 25",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131265712",
            "telephone_number": "315-402-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 COUNTY ROUTE 25",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131265712",
            "telephone_number": "315-402-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTRAND",
        "first_name": "BEVERLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339797-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.