Individual provider Active NPI

Paige Marie Hyder, FNP-BC

  • Family Nurse Practitioner
  • Troy, NY
National Provider Identifier
1194562173
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349634 Issued in NY
Practice address
2215 Burdett Ave
Troy, NY 12180-2466
Phone
(518) 271-3300
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 810506 NY
Family Nurse Practitioner 363LF0000X F349634 NY Primary

Addresses

Primary practice location

2215 Burdett Ave
Troy, NY 12180-2466

Mailing address

8 Park PL
St Johnsville, NY 13452-1332
Phone (518) 568-3403

Other practice location 1

99 E State St
Gloversville, NY 12078-1293
Phone (518) 725-8621

Other practice location 2

8 Park Pl
St Johnsville, NY 13452-1332
Phone (518) 568-3403

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
I20250102001235 NY Practitioner - Nurse Practitioner 8123555133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gloversville Emergency Medicine Services PCGroup PAC ID 7517107881, 15 clinicians

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
810506NYMDEmergency Registered Nurse
F349634NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gloversville Emergency Medicine Services PC CurrentSince Nov 1, 2024 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

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 4

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1194562173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PARK PL",
            "city": "ST JOHNSVILLE",
            "state": "NY",
            "postal_code": "134521332",
            "telephone_number": "518-568-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802466",
            "telephone_number": "518-271-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 E State St",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120781293",
            "country_code": "US",
            "telephone_number": "518-725-8621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Park Pl",
            "address_purpose": "LOCATION",
            "city": "St Johnsville",
            "state": "NY",
            "postal_code": "134521332",
            "country_code": "US",
            "telephone_number": "518-568-3403",
            "fax_number": "518-568-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDER",
        "first_name": "PAIGE",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "810506",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.