Active NPI
Kimberly P. Sutryk, FNP
- Nurse Practitioner
- Corning, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F334362
- Practice address
- 123 Conhocton St
Corning, NY 14830-2911 - Phone
- (607) 973-8600
- Fax
- (607) 962-5102
- NPI assigned
- Feb 21, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F334362 | NY | Primary |
Addresses
Primary practice location
123 Conhocton St
Corning, NY 14830-2911
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02644571 | 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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Schuyler Hospital Inc
Practice addresses (Care Compare)
220 Steuben St
Montour Falls, NY 14865-9740
Phone 607535863952353
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F334362 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Current | Accepting new patients | |
| Schuyler Hospital Inc | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Schuyler Hospital Inc | Current | Accepting new patients | |
| Schuyler Hospital Inc | Current | Accepting new patients | |
| Cma Medical Practice PLLC | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Past | Accepting new patients | |
| Atlantic Physician Services of Maryland, P.C. | Nurse Practitioner | Past | Accepting new patients |
Locations
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
Interoperability endpoints
- ksutryk8004@direct-guthrie.org
Organizations & group practices 8
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.
-
dba Emergency Medicine Associates of Cayuga PLLC
- Emergency Medicine Physician
- Ithaca, NY
- NPI 1962985564
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Critical Access Hospital
- Montour Falls, NY
- NPI 1639150477
-
- Internal Medicine Physician
- Montour Falls, NY
- NPI 1760582142
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Medicare Defined Swing Bed Hospital Unit
- Montour Falls, NY
- NPI 1740364181
-
- Physician Assistant
- Wilmington, DE
- NPI 1730129594
Nurse Practitioner
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
-
- Critical Access Hospital
- Montour Falls, NY
- NPI 1639150477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154396380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858",
"fax_number": "570-882-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 CONHOCTON ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302911",
"telephone_number": "607-973-8600",
"fax_number": "607-962-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTRYK",
"first_name": "KIMBERLY",
"middle_name": "P.",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F334362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02644571",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.