Individual provider Active NPI

Kathleen Kissinger, FNP

  • Family Nurse Practitioner
  • Amsterdam, NY
National Provider Identifier
1194225524
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342658 Issued in NY
Practice address
2510 Riverfront Ctr
Amsterdam, NY 12010-4614
Phone
(518) 627-0469
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 342658 NY Primary

Addresses

Primary practice location

2510 Riverfront Ctr
Amsterdam, NY 12010-4614

Mailing address

2510 Riverfront Ctr
Amsterdam, NY 12010-4614
Phone (518) 627-0469

Other identifiers 1

IdentifierTypeStateIssuer
1396761474MedicaidNY

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
I20200605001060 NY Practitioner - Nurse Practitioner 0840611463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Center for Rheumatology LLPGroup PAC ID 5395788327, 11 clinicians

Practice addresses (Care Compare)

6 Care LN
Suite 101
Saratoga Springs, NY 12866-8652
Phone (518) 584-4953

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.37 of 100Reported as group
Quality
97.28
Improvement activities
40
Cost
81.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
342658NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Rheumatology, LLP CurrentSince Jul 6, 2021 Accepting new patients

Locations

4 Tower Pl
Fl 8
Albany, NY 12203
Phone (518) 489-4471

6 Care Ln
Ste 101
Saratoga Springs, NY 12866
Phone (518) 489-4471

Interoperability endpoints

  • Direct secure messaging: kathleen.kissinger.p1@direct.tcfr.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1194225524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104614",
            "telephone_number": "518-627-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104614",
            "telephone_number": "518-627-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSINGER",
        "first_name": "KATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396761474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.