NPIMap

Individual provider Active NPI

Kirsten A. Laux, NP

  • Nurse Practitioner
  • Fishkill, NY
National Provider Identifier
1164645016
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333142 Issued in NY
Practice address
400 Westage Business Ctr Dr
Suite 210
Fishkill, NY 12524-2223
Phone
(845) 838-8480
Fax
(845) 838-8474
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F333142 NY Primary

Addresses

Primary practice location

400 Westage Business Ctr Dr
Suite 210
Fishkill, NY 12524-2223

Mailing address

243 North Rd
Suite 304
Poughkeepsie, NY 12601-1172
Phone (845) 451-7251

Other identifiers 1

IdentifierTypeStateIssuer
02865438MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070908000017 NY Practitioner - Nurse Practitioner 6305938796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

243 N Rd
Poughkeepsie, NY 12601-1173

969 Main St
Fishkill, NY 12524-1789
Phone (845) 897-9797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333142NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Sep 1, 2013 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Sep 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 Westage Business Ctr Dr
Ste 210
Fishkill, NY 12524
Phone (845) 838-8480

400 Westage Business Ctr Dr
Fishkill, NY 12524
Phone (845) 305-9155

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

243 North Rd
Ste 103
Poughkeepsie, NY 12601
Phone (845) 454-0728

1 Webster Ave
Ste 301
Poughkeepsie, NY 12601
Phone (845) 483-5858

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

Networks

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

Interoperability endpoints

  • Direct secure messaging: klaux@premiermedicalhv.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1164645016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD",
            "address_2": "SUITE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-451-7251",
            "fax_number": "845-451-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTAGE BUSINESS CTR DR",
            "address_2": "SUITE 210",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242223",
            "telephone_number": "845-838-8480",
            "fax_number": "845-838-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUX",
        "first_name": "KIRSTEN",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02865438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.