Individual provider Active NPI

Douglas Sivers, FNP

  • Family Nurse Practitioner
  • Oneonta, NY
National Provider Identifier
1275985558
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340769 Issued in NY
Practice address
179 River St
Oneonta, NY 13820-2239
Phone
(607) 432-8477
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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 340769 NY Primary

Addresses

Primary practice location

179 River St
Oneonta, NY 13820-2239

Mailing address

33 Lewis Rd
2ND Floor
Binghamton, NY 13905-1048
Phone (607) 729-8156

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
I20160914002927 NY Practitioner - Nurse Practitioner 4284920471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Physicians of Cortland County PLLCGroup PAC ID 6002802725, 7 clinicians

Practice addresses (Care Compare)

134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3743

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340769NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Medical Associates, PC CurrentSince Jan 1, 2021 Accepting new patients
Ithaca Medical Services PLLC CurrentSince Aug 1, 2022 Accepting new patients
Cma Medical Practice PLLC CurrentSince Dec 31, 2019 Accepting new patients
Emergency Medicine Physicians of Cortland County, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1129 Commons Ave
Cortland, NY 13045
Phone (607) 756-7200

1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

Interoperability endpoints

  • Direct secure messaging: dsivers220713@direct-guthrie.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1275985558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "2ND FLOOR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051048",
            "telephone_number": "607-729-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 RIVER ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202239",
            "telephone_number": "607-432-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERS",
        "first_name": "DOUGLAS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.