Individual provider Active NPI

Carolyn Schulhoff, FNP APRN

  • Nurse Practitioner
  • Stanfordville, NY
National Provider Identifier
1245241520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333828-1 Issued in NY
Practice address
3 Gristmill Lane
Stanfordville Community Health Center
Stanfordville, NY 12581
Phone
(845) 868-7300
Fax
(845) 868-7224
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F333828-1 NY Primary

Addresses

Primary practice location

3 Gristmill Lane
Stanfordville Community Health Center
Stanfordville, NY 12581

Mailing address

6532 Route 82
Stanfordville, NY 12581
Phone (845) 868-7366

Other identifiers 1

IdentifierTypeStateIssuer
464440MedicaidNY

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
I20041025001000 NY Practitioner - Nurse Practitioner 8628976016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

111 Barton Hill Rd
Schoharie, NY 12157-4806
Phone (518) 295-8521

136 Pkwy Dr
Cobleskill, NY 12043-5150
Phone (518) 234-2555

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002806CTMDClinical Psychologist
F333828-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 8, 2018 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 8, 2018 Accepting new patients
Physician Network, PC Past Accepting new patients
Angelo a Della Pietra Family Medical PC PastSince Mar 1, 2014 Accepting new patients
Connecticut Elder Care LLC Nurse Practitioner Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

136 Parkway Dr
Cobleskill, NY 12043
Phone (518) 234-2555

1 Cooley Hts
Delanson, NY 12053
Phone (518) 895-2000

111 Barton Hill Rd
Schoharie, NY 12157
Phone (518) 295-8521

Interoperability endpoints

  • Direct secure messaging: cschulhoff321091@bassett.direct-ci.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245241520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6532 ROUTE 82",
            "city": "STANFORDVILLE",
            "state": "NY",
            "postal_code": "12581",
            "telephone_number": "845-868-7366",
            "fax_number": "845-868-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GRISTMILL LANE",
            "address_2": "STANFORDVILLE COMMUNITY HEALTH CENTER",
            "city": "STANFORDVILLE",
            "state": "NY",
            "postal_code": "12581",
            "telephone_number": "845-868-7300",
            "fax_number": "845-868-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULHOFF",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "FNP APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333828-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464440",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanfordville, NY

Sources for this page

Verify at the official NPI Registry.