Emily Catherine Bastiaanse, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Vestal, NY
NPI 1285003376 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1285003376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 340003 (NY)
- Practice address
- 2517 Vestal Pkwy E
Vestal, NY 13850-2020 - Phone
- (607) 798-1452
- NPI assigned
- Sep 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
2517 Vestal Pkwy E
Vestal, NY 13850-2020
Phone (607) 798-1452
Hospital & facility affiliations
- Twin Tier Home Health, Inc
- Lourdes at Home Chha
- Our Lady of Lourdes Memorial Hospital, Inc
- Robert Packer Hospital
- United Health Services Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209002247 | NY | Practitioner - Nurse Practitioner | 2567763931 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340003 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
2517 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 798-1452
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 340003 | NY | Yes |
Addresses
Primary practice location
2517 Vestal Pkwy E
Vestal, NY 13850-2020
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebastiaanse59295@direct-guthrie.org | Direct |
Other providers in Vestal, NY
- Michael Barton
- Victoria Barton
- Emily Barvinchak
- Gillian Basedow
- Patricia Jeanne Basmajian
- Anna-Marie W Batz
- Stephanie Bauman
- Gregory Baxter
- Douglas G Beattie
- Gila Yaffa Beer
All providers in Vestal, NY · Primary Care Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.