Active NPI
Kenneth Hilborne, FNP-C
- Family Nurse Practitioner
- Ogdensburg, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 342069
- Practice address
- 3 Lyon PL
Ogdensburg, NY 13669-2590 - Phone
- (315) 394-7542
- Fax
- (866) 506-5573
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- 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 Nurse Practitioner | 363LF0000X | 342069 | NY | Primary |
Addresses
Primary practice location
3 Lyon PL
Ogdensburg, NY 13669-2590
Mailing address
3 Lyon PL
Ogdensburg, NY 13669-2590
Phone (315) 394-7542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04833029 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462
1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000
214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600
39 W Main St
Canton, NY 13617-1358
Phone (315) 379-4700
4 Commerce LN
Canton, NY 13617-3739
Phone (315) 386-8191
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342069 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claxton Medical PC | Family | Current | Accepting new patients |
| United Cerebral Palsy Association of the North Country, Inc. | Current | Accepting new patients | |
| Claxton Medical PC | Current | Accepting new patients | |
| Claxton-Hepburn Medical Center | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital Inc. | Current | Accepting new patients |
Locations
39 W Main St
Canton, NY 13617
Phone (315) 379-4700
4 Commerce Ln
Canton, NY 13617
Phone (315) 386-1156
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955
214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660
102 Ford St
Ogdensburg, NY 13669
Phone (315) 393-9350
3 Lyon Pl
Ste 200
Ogdensburg, NY 13669
Phone (315) 394-7542
3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542
Interoperability endpoints
- khilborne@cahclinics.medentdirect.com
- hilbornek@hiemail.healtheconnections.org
- kenneth.hilborne@claxton.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Psychiatric Hospital
- Ogdensburg, NY
- NPI 1891753034
-
- Federally Qualified Health Center (FQHC)
- Canton, NY
- NPI 1467432765
-
- Pediatrics Physician
- Ogdensburg, NY
- NPI 1114164944
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
- Urology Physician
- Carthage, NY
- NPI 1720269863
-
- Family Medicine Physician
- Ogdensburg, NY
- NPI 1013399617
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Ogdensburg, NY
- NPI 1669236261
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
- Home Health Agency
- Potsdam, NY
- NPI 1952407033
-
- Home Health Agency
- Canton, NY
- NPI 1881037604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1144741158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LYON PL",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136692590",
"telephone_number": "315-394-7542",
"fax_number": "866-506-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LYON PL",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136692590",
"telephone_number": "315-394-7542",
"fax_number": "866-506-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILBORNE",
"first_name": "KENNETH",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "342069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04833029",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.