Individual provider Active NPI

Nicole Marie Cregan, FNP

  • Family Nurse Practitioner
  • Waterford, NY
National Provider Identifier
1134948573
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F355187-01 Issued in NY
Practice address
47 1St St
Waterford, NY 12188-2536
Phone
(516) 330-2689
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 F355187-01 NY Primary

Addresses

Primary practice location

47 1St St
Waterford, NY 12188-2536

Mailing address

47 1St St
Waterford, NY 12188-2536
Phone (516) 330-2689

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
I20250304002117 NY Practitioner - Nurse Practitioner 8527589704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine of Mechanicville PLLCGroup PAC ID 4880749456, 2 clinicians

Practice addresses (Care Compare)

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

242 S Central Ave
Mechanicville, NY 12118-3522
Phone (518) 664-4185

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
355187NYMDRegistered Nurse
F355187-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Hospital of the City of Albany Family CurrentSince Mar 17, 2025 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Mar 17, 2025 Accepting new patients
Family Medicine of Mechanicville PLLC CurrentSince Dec 1, 2025 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Mar 17, 2025 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Mar 17, 2025 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

242 S Central Ave
Mechanicville, NY 12118
Phone (518) 664-4185

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: ncregan1232792@direct.trinity-health.org

Organizations & group practices 5

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1134948573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 1ST ST",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882536",
            "telephone_number": "516-330-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 1ST ST",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882536",
            "telephone_number": "516-330-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F355187-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, NY

Sources for this page

Verify at the official NPI Registry.