Individual provider Active NPI

Rewati Bhattarai

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1215545157
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F310274 Issued in NY
Practice address
140 W 6TH St
Oswego, NY 13126-2525
Phone
(315) 349-5511
Fax
(315) 349-5823
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X F310274 NY Primary

Addresses

Primary practice location

140 W 6TH St
Oswego, NY 13126-2525

Mailing address

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Other practice location 1

600 Moye Blvd
Greenville, NC 27834-4300
Phone (252) 744-6478

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
I20260409002427 NY Order and Referring Only - Nurse Practitioner 2567858632

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 W 6TH St
Oswego, NY 13126-2507

Hospital & facility affiliations

  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F310274NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Care PC CurrentSince Aug 1, 2022 Accepting new patients
Statline Medical PC CurrentSince Nov 18, 2021 Accepting new patients

Locations

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

140 W 6th St
Ste LL30
Oswego, NY 13126
Phone (315) 349-5511

105 County Route 45A
Ste 400
Oswego, NY 13126
Phone (315) 312-0089

140 W 6th St
#202
Oswego, NY 13126
Phone (315) 349-5828

140 W 6th St
Oswego, NY 13126
Phone (315) 207-0002

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1215545157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262525",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Moye Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278344300",
            "country_code": "US",
            "telephone_number": "252-744-6478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATTARAI",
        "first_name": "REWATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F310274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.