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Individual provider Active NPI

Elizabeth Susan Farrigan, FNP

  • Nurse Practitioner
  • Burnt Hills, NY
National Provider Identifier
1245234681
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F33255 Issued in NY
Practice address
848 Route 50
Burnt Hills, NY 12027
Phone
(518) 831-1500
Fax
(518) 280-8464
NPI assigned
Jun 13, 2005
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F33255 NY Primary

Addresses

Primary practice location

848 Route 50
Burnt Hills, NY 12027

Mailing address

848 Route 50
Burnt Hills, NY 12027-9511
Phone (518) 831-1500

Other names 1

  • Elizabeth Susan Matthews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000287 NY Practitioner - Nurse Practitioner 6103950670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Schenectady Gastroenterology Associates, PCGroup PAC ID 6608855168, 31 clinicians

Practice addresses (Care Compare)

848 State Route 50
Burnt Hills, NY 12027-9511
Phone 51883115001100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F33255NYMDNurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1245234681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279511",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-831-1500",
            "fax_number": "518-280-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIGAN",
        "first_name": "ELIZABETH",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F33255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MATTHEWS",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnt Hills, NY

Sources for this page

Verify at the official NPI Registry.