Individual provider Active NPI

Keith Bates, FNP

  • Family Nurse Practitioner
  • Lowville, NY
National Provider Identifier
1255031050
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351090-01 Issued in NY
Practice address
7785 N State St FL 3
Lowville, NY 13367-1229
Phone
(315) 376-5287
Fax
(315) 376-3228
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F351090-01 NY Primary

Addresses

Primary practice location

7785 N State St FL 3
Lowville, NY 13367-1229

Mailing address

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5287

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
I20230424002592 NY Practitioner - Nurse Practitioner 1658736723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lewis CountyGroup PAC ID 2668463779, shared by 14 NPIs, 39 clinicians

Practice addresses (Care Compare)

3926 State Route 12
Lyons Falls, NY 13368-1919
Phone (315) 348-8407

7785 N State St
FL 3
Lowville, NY 13367-1229
Phone (315) 376-5287

9559 Main St
Beaver Falls, NY 13305-0000
Phone (315) 346-6824

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F351090-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County General Hospital CurrentSince May 1, 2023 Accepting new patients
Lewis County CurrentSince May 1, 2023 Accepting new patients
Lewis County General Hospital CurrentSince May 1, 2023 Accepting new patients
Lewis County General Hospital Current Accepting new patients
Lewis County General Hospital CurrentSince May 1, 2023 Accepting new patients
Lewis County Past Accepting new patients

Locations

9732 State Route 12
Copenhagen, NY 13626
Phone (315) 668-2305

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

7785 N State St
#13282
Lowville, NY 13367
Phone (315) 376-5200

7785 N State St
#3
Lowville, NY 13367

7785 N State St
Fl 3
Lowville, NY 13367
Phone (315) 376-5287

3926 State Route 12
Lyons Falls, NY 13368
Phone (315) 348-8407

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

Hospital & facility affiliations 5

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1255031050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5287",
            "fax_number": "315-376-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST FL 3",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5287",
            "fax_number": "315-376-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KEITH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351090-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.