Individual provider Active NPI

Mahrie Amelia Moore Hyland, CNM, FNP-C

  • Advanced Practice Midwife
  • Ithaca, NY
National Provider Identifier
1265664213
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
20 Arrowood Dr
Ithaca, NY 14850-1857
Phone
(607) 266-7800
Fax
(607) 216-0093
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001350 NY
Family Nurse Practitioner 363LF0000X 346551 NY
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

20 Arrowood Dr
Ithaca, NY 14850-1857

Mailing address

20 Arrowood Dr
Ithaca, NY 14850-1857
Phone (607) 266-7800

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000195 NY Practitioner - Certified Nurse Midwife (CNM) 9830236645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
346551NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornell University Past Accepting new patients
Cayuga Medical Center at Ithaca Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmoore@ithacaobgyn.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1265664213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ARROWOOD DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501857",
            "telephone_number": "607-266-7800",
            "fax_number": "607-216-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ARROWOOD DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501857",
            "telephone_number": "607-266-7800",
            "fax_number": "607-216-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE HYLAND",
        "first_name": "MAHRIE",
        "middle_name": "AMELIA",
        "credential": "CNM, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001350",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346551",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.