Active NPI
Caroline E Marie Andrew, FNP-BC
- Family Nurse Practitioner
- Middleburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 352402
- Practice address
- 291 Main St
Middleburgh, NY 12122-6520 - Phone
- (518) 827-3600
- Fax
- (518) 827-5544
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 352402 | NY | Primary |
Addresses
Primary practice location
291 Main St
Middleburgh, NY 12122-6520
Mailing address
1 Atwell Rd
Cooperstown, NY 13326-1394
Phone (607) 547-3456
Other practice location 1
245 Main St
Middleburgh, NY 12122-6308
Phone (518) 827-3600
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920000134 | NY | Practitioner - Nurse Practitioner | 6507934072 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
597 County Highway 54
Cherry Valley, NY 13320
Phone (607) 264-3265
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
55 Main St
Laurens, NY 13796
Phone (607) 432-2050
245 Main St
#1
Middleburgh, NY 12122
Phone (518) 827-3793
291 Main St
Middleburgh, NY 12122
Phone (518) 570-7178
4238 State Highway 8
New Berlin, NY 13411
Phone (607) 847-6050
1 River St
Stamford, NY 12167
Phone (607) 652-2065
198 Main St
Worcester, NY 12197
Phone (607) 397-1013
Interoperability endpoints
- candrew396643@bassett.direct-ci.net
Organizations & group practices 2
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.
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1164559118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261394",
"telephone_number": "607-547-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 MAIN ST",
"city": "MIDDLEBURGH",
"state": "NY",
"postal_code": "121226520",
"telephone_number": "518-827-3600",
"fax_number": "518-827-5544"
}
],
"practiceLocations": [
{
"address_1": "245 Main St",
"address_purpose": "LOCATION",
"city": "Middleburgh",
"state": "NY",
"postal_code": "121226308",
"country_code": "US",
"telephone_number": "518-827-3600",
"fax_number": "518-827-5419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREW",
"first_name": "CAROLINE",
"middle_name": "E MARIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "352402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.