Emily Edna McGovern, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F-348018 Issued in NY

Practice address

19472 US Route 11 Ste N101
Watertown, NY 13601-6897

Phone

(315) 786-1924

Fax

(315) 786-0823

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Nurse Practitioners-Family Health PLLCGroup PAC ID 2668451998, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Merit-based Incentive Payment System (MIPS)

Final score

87.13 of 100Reported as group

Quality

74.26

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Nurse Practitioners - Family Health PLLC

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1114147311
  Medicare reassignment Care Compare group NPD
• Eye Plastic and Reconstructive Surgery of Cny PC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • North Syracuse, NY
  • NPI 1548351935
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Care Compare affiliation

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1306510730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19472 US ROUTE 11 STE N101",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016897",
            "telephone_number": "315-786-1924",
            "fax_number": "315-786-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19472 US ROUTE 11 STE N101",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016897",
            "telephone_number": "315-786-1924",
            "fax_number": "315-786-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "EMILY",
        "middle_name": "EDNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F-348018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EMCGOVERN@NORTHERNNP.COM",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19472 US Route 11 Ste N101",
            "city": "Watertown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136016897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin L McCormack, P.T.
• Wendy McCormick
• Chris McDonald
• Michael Kenneth McElheran, PA
• Margot McGorman, SLP
• Robyn Michele McGowan, PMHNP
• Dawn M McGrath
• Dale McIntyre, R.PH.
• Kelsey McIntyre
• Tiffany Shawn McLallen

• Family Medicine Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.