Individual provider Active NPI

Elissa Anne Fahnestock, FNP

  • Hospice and Palliative Medicine (Anesthesiology) Physician
  • Albany, NY
National Provider Identifier
1124932470
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Anesthesiology) PhysicianTaxonomy code 207LH0002X
License
F360775-01 Issued in NY
Practice address
445 New Karner Rd
Albany, NY 12205-3809
Phone
(518) 774-0945
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X F360775-01 NY Primary

Addresses

Primary practice location

445 New Karner Rd
Albany, NY 12205-3809

Mailing address

35 Shafer Heights Rd
Glen Spey, NY 12737-6151
Phone (518) 774-0945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1124932470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SHAFER HEIGHTS RD",
            "city": "GLEN SPEY",
            "state": "NY",
            "postal_code": "127376151",
            "telephone_number": "518-774-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053809",
            "telephone_number": "518-774-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHNESTOCK",
        "first_name": "ELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "F360775-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.