Individual provider Active NPI

Carwyn M Kruler, CNM

  • Advanced Practice Midwife
  • Glens Falls, NY
National Provider Identifier
1164830253
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
692925 Issued in NY
Practice address
90 South St
Glens Falls, NY 12801-4328
Phone
(518) 792-7841
Fax
(518) 932-0289
NPI assigned
Aug 1, 2014
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 692925 NY Primary

Addresses

Primary practice location

90 South St
Glens Falls, NY 12801-4328

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
03917746MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141006000815 NY Practitioner - Certified Nurse Midwife (CNM) 4789804287 Reassigns benefits to 1 organization
I20220601000779 OH Practitioner - Certified Nurse Midwife (CNM) 4789804287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001638NYMDMarriage & Family Therapist
692925NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
St Marys Healthcare CurrentSince Apr 1, 2018 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2022 Accepting new patients
St. Mary's Healthcare CurrentSince Apr 1, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 1, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 1, 2022 Accepting new patients
St. Mary's Healthcare Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330

425 Guy Park Ave
Ste 102
Amsterdam, NY 12010
Phone (518) 843-1240

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

442 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-0321

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

917 N Lake St
Ste 210
Amherst, OH 44001

1997 Healthway Dr
Ste 203
Avon, OH 44011
Phone (440) 988-6880

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

125 E Broad St
Ste 218
Elyria, OH 44035
Phone (440) 284-5610

32800 Lorain Rd
Ste 1200
North Ridgeville, OH 44039
Phone (440) 406-5400

319 W Lorain St
Oberlin, OH 44074
Phone (440) 774-5518

29101 Health Campus Dr
Ste 270
Westlake, OH 44145
Phone (440) 835-0455

29160 Center Ridge Rd
Ste M
Westlake, OH 44145
Phone (440) 835-6996

Interoperability endpoints

  • Direct secure messaging: ckruler37633@ehrdirect.uhhospitals.org

Organizations & group practices 8

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1164830253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300",
            "fax_number": "518-824-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTH ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014328",
            "telephone_number": "518-792-7841",
            "fax_number": "518-932-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULER",
        "first_name": "CARWYN",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "692925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03917746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.