Phyl McClure, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3396461 Issued in NY

Practice address

53 Public SQ # 59
301
Watertown, NY 13601-2674

Phone

(315) 782-2141

NPI assigned

Jun 26, 2015

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northern Nurse Practitioners - Family Health PLLC

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1114147311
  Medicare reassignment NPD
• Wellness Physician Care PLLC

  dba QuikMed Urgent Care

  • Internal Medicine Physician
  • Watertown, NY
  • NPI 1114979598
  Medicare reassignment NPD
• Velocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Williamsburg, VA
  • NPI 1205350584
  Medicare reassignment NPD
• Alternative Aging & Medispa

  dba TelefixNP

  • Family Medicine Physician
  • Watertown, NY
  • NPI 1700471158
  NPD

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1194107086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15137 CARROLLTON BLVD",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142301",
            "telephone_number": "757-758-2410",
            "fax_number": "844-689-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PUBLIC SQ # 59",
            "address_2": "301",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-782-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "PHYL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180103",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "3396461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Christine McCabe
• Michaela Duffy McCargar, FNP
• Lanie McCauley, CASAC
• Albert A. McClain Jr., M. D.
• Heather Anne McClean, PA-C
• Mary L McClusky, O.T.
• Patrick Michael McConnell
• Kristin L McCormack, P.T.
• Wendy McCormick
• Chris McDonald

• Family Nurse Practitioner in Watertown, NY
• Providers in Watertown, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.