Individual provider Active NPI

Mary Elizabeth Kruppner, R.N.

  • Registered Nurse
  • Geneseo, NY
National Provider Identifier
1215206537
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
248968 Issued in NY
Practice address
4050 Avon Road
Geneseo, NY 14454
Phone
(585) 243-3450
Fax
(585) 243-9481
NPI assigned
Dec 15, 2011
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 248968 NY Primary

Addresses

Primary practice location

4050 Avon Road
Geneseo, NY 14454

Mailing address

4050 Avon Road
Geneseo, NY 14454
Phone (585) 243-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York Department Education Geneseo Central School District Past Accepting new patients
Livingston County Past Accepting new patients

Organizations & group practices 2

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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1215206537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 AVON ROAD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "14454",
            "telephone_number": "585-243-3450",
            "fax_number": "585-243-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 AVON ROAD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "14454",
            "telephone_number": "585-243-3450",
            "fax_number": "585-243-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPPNER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "248968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.