Individual provider Active NPI

Karen L McCrea, FNP

  • Family Nurse Practitioner
  • Gloversville, NY
National Provider Identifier
1306024013
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F 334611 Issued in NY
Practice address
99 East State Street
Mab Suite G01
Gloversville, NY 12078-1203
Phone
(518) 775-4201
Fax
(518) 775-4225
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 F 334611 NY Primary

Addresses

Primary practice location

99 East State Street
Mab Suite G01
Gloversville, NY 12078-1203

Mailing address

PO Box 1250
Gloversville, NY 12078-0010
Phone (518) 775-4201

Other identifiers 1

IdentifierTypeStateIssuer
435254-1OtherNYLICENSE

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
I20080422000603 NY Practitioner - Nurse Practitioner 6305924945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathan Littauer Hospital Association 94 clinicians

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F 334611NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Littauer Hospital & Nursing Home CurrentSince Oct 18, 2022 Accepting new patients
Nathan Littauer Hospital Association CurrentSince Oct 18, 2022 Accepting new patients
Nathan Littauer Hospital Association Current Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients

Locations

99 E State St
Ste G1
Gloversville, NY 12078
Phone (518) 775-4201

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

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 4

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": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306024013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120780010",
            "telephone_number": "518-775-4201",
            "fax_number": "518-775-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 EAST STATE STREET",
            "address_2": "MAB SUITE G01",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-775-4201",
            "fax_number": "518-775-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREA",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F 334611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "435254-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.