Individual provider Active NPI

Constance Defreest, M.S., N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1154550127
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400718-1 Issued in NY
Practice address
1285 Route 9
Suite 7B
Wappingers Falls, NY 12590-4993
Phone
(845) 632-2939
Fax
(845) 632-2940
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400718-1 NY Primary

Addresses

Primary practice location

1285 Route 9
Suite 7B
Wappingers Falls, NY 12590-4993

Mailing address

1285 Route 9
Suite 7B
Wappingers Falls, NY 12590-4993
Phone (845) 632-2939

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
I20151217001724 NY Practitioner - Nurse Practitioner 5799086633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State Un of Ny, Stony Brook School of Dental Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1285 Route 9
Suite 7B
Wappingers Falls, NY 12590-4993
Phone (845) 632-2939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400718-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Constance Defreest Psychiatric Nurse Practitioner PLLC Psychiatric/Mental Health CurrentSince Sep 2, 2015 Accepting new patients

Locations

1285 Route 9
Ste 7B
Wappingers Fl, NY 12590
Phone (845) 632-2939

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1154550127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 ROUTE 9",
            "address_2": "SUITE 7B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904993",
            "telephone_number": "845-632-2939",
            "fax_number": "845-632-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 ROUTE 9",
            "address_2": "SUITE 7B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904993",
            "telephone_number": "845-632-2939",
            "fax_number": "845-632-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREEST",
        "first_name": "CONSTANCE",
        "credential": "M.S., N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400718-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.