Individual provider Active NPI

Ingrid Selma Frengle-Burke, N.P.

  • Family Nurse Practitioner
  • Newburgh, NY
National Provider Identifier
1154551851
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336008 Issued in NY
Practice address
147 Lake St
Newburgh, NY 12550
Phone
(845) 563-8000
NPI assigned
Jul 16, 2009
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336008 NY Primary

Addresses

Primary practice location

147 Lake St
Newburgh, NY 12550

Mailing address

2570 Route 9W
Suite 10
Cornwall, NY 12518-1323
Phone (845) 220-3100

Other identifiers 1

IdentifierTypeStateIssuer
03354092MedicaidNY

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
I20110803000391 NY Practitioner - Nurse Practitioner 9234308586 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336008NYMDLicensed Practical Nurse
F336008NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health CurrentSince Nov 29, 2017 Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Jun 3, 2017 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

50 E 168th St
#98
Bronx, NY 10452
Phone (718) 293-3900

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ifrengleburke70870@direct.garnethealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1154551851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 ROUTE 9W",
            "address_2": "SUITE 10",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181323",
            "telephone_number": "845-220-3100",
            "fax_number": "845-534-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 LAKE ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-563-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENGLE-BURKE",
        "first_name": "INGRID",
        "middle_name": "SELMA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03354092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.