Individual provider Active NPI

Erin Duffell, RN, FNP

  • Family Nurse Practitioner
  • Central Valley, NY
National Provider Identifier
1265876676
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349044 Issued in NY
Practice address
199 Dunderberg Rd
Central Valley, NY 10917-3507
Phone
(845) 460-6400
NPI assigned
Apr 29, 2013
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349044 NY Primary
Registered Nurse 163W00000X 22546323 NY

Addresses

Primary practice location

199 Dunderberg Rd
Central Valley, NY 10917-3507

Mailing address

28 Balmoral CT
Harriman, NY 10926-3921

Other identifiers 1

IdentifierTypeStateIssuer
220546323MedicaidNY

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
I20220825001986 NY Practitioner - Nurse Practitioner 6709260763 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22546323NYMDRegistered Nurse
349044NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. CurrentSince Jul 25, 2022 Accepting new patients
Horizon Medical Group, P.C. CurrentSince Jul 25, 2022 Accepting new patients

Locations

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

2 Coates Dr
Goshen, NY 10924
Phone (845) 651-1400

5 Grand St
Warwick, NY 10990
Phone (845) 986-7885

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA

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

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1265876676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BALMORAL CT",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109263921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 DUNDERBERG RD",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109173507",
            "telephone_number": "845-460-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFELL",
        "first_name": "ERIN",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349044",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22546323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220546323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Valley, NY

Sources for this page

Verify at the official NPI Registry.