NPIMap

Individual provider Active NPI

Elizabeth Hutchins, ANP

  • Adult Health Nurse Practitioner
  • Glens Falls, NY
National Provider Identifier
1144508144
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305797 Issued in NY
Practice address
2 Broad Street PLZ
Broad Street Medical Group
Glens Falls, NY 12801-4363
Phone
(518) 926-1770
Fax
(518) 926-1799
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305797 NY Primary

Addresses

Primary practice location

2 Broad Street PLZ
Broad Street Medical Group
Glens Falls, NY 12801-4363

Mailing address

PO Box 304
Glens Falls, NY 12801-0304
Phone (518) 926-1770

Other identifiers 2

IdentifierTypeStateIssuer
03371620MedicaidNY
P00987924OtherNYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000459 NY Practitioner - Nurse Practitioner 5395918379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Regional Medical , P.CGroup PAC ID 9032438544, 23 clinicians
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

59 Myrtle St
Saratoga Springs, NY 12866-1027
Phone (518) 587-2400

6 Medical Park Dr
Suite 200
Malta, NY 12020-5053
Phone (518) 289-2718

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.72
Improvement activities
40
Cost
73.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305797NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Jul 8, 2019 Accepting new patients
Saratoga Hospital CurrentSince Feb 29, 2016 Accepting new patients
Saratoga Regional Medical , P.C Current Accepting new patients
Saratoga Hospital CurrentSince Feb 29, 2016 Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

2 Broad Street Plz
Glens Falls, NY 12801
Phone (518) 793-0519

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

6 Medical Park Dr
Ste 200
Malta, NY 12020
Phone (518) 289-2717

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

6 Care Ln
Saratoga Springs, NY 12866
Phone (518) 581-1415

59C Myrtle St
Saratoga Springs, NY 12866
Phone (518) 587-1919

Interoperability endpoints

  • Direct secure messaging: ehutchins98652@albanymed.direct-ci.com

Organizations & group practices 6

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 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1144508144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-926-1770",
            "fax_number": "518-926-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROAD STREET PLZ",
            "address_2": "BROAD STREET MEDICAL GROUP",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014363",
            "telephone_number": "518-926-1770",
            "fax_number": "518-926-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "ELIZABETH",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03371620",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00987924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.