Active NPI
Maegan Boulerice Cabrera, M.D.
- Family Medicine Physician
- Plattsburgh, NY
National Provider Identifier
1144588252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 274133
- Practice address
- 159 Margaret St
Suite 100
Plattsburgh, NY 12901-1893 - Phone
- (518) 562-7900
- NPI assigned
- Apr 26, 2012
- Last updated
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 274133 | NY | Primary |
Addresses
Primary practice location
159 Margaret St
Suite 100
Plattsburgh, NY 12901-1893
Mailing address
PO Box 2868
Plattsburgh, NY 12901-0259
Phone (518) 562-7900
Other names 1
- Maegan Nichole Boulerice
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
159 Margaret St
Suite 100
Plattsburgh, NY 12901-1874
Phone (518) 314-3939
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274133 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | Family Medicine | Current | Accepting new patients |
Locations
159 Margaret St
Ste 100
Plattsburgh, NY 12901
Phone (518) 314-3939
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
Interoperability endpoints
- mcabrera182592@direct.uvmhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
- Community Based Hospice Care Agency
- Plattsburgh, NY
- NPI 1417999053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1144588252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2868",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129010259",
"telephone_number": "518-562-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 MARGARET ST",
"address_2": "SUITE 100",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011893",
"telephone_number": "518-562-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "MAEGAN",
"middle_name": "BOULERICE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-26",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "274133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAEGAN",
"last_name": "BOULERICE",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.