Individual provider Active NPI

Caroline E Marie Andrew, FNP-BC

  • Family Nurse Practitioner
  • Middleburgh, NY
National Provider Identifier
1164559118
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352402 Issued in NY
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

Updated by the provider on Sep 6, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920000134 NY Practitioner - Nurse Practitioner 6507934072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Sep 5, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 5, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.