Individual provider Active NPI

Josselyn Elizabeth Agura, FNP

  • Family Nurse Practitioner
  • Oneonta, NY
National Provider Identifier
1316635733
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351106-01 Issued in NY
Practice address
460 Main St Ste 1
Oneonta, NY 13820-2097
Phone
(607) 441-3300
Fax
(607) 441-3305
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 787235-01 NY
Family Nurse Practitioner 363LF0000X F351106-01 NY Primary

Addresses

Primary practice location

460 Main St Ste 1
Oneonta, NY 13820-2097

Mailing address

460 Main St Ste 1
Oneonta, NY 13820-2097
Phone (607) 441-3300

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
I20240321002809 NY Practitioner - Nurse Practitioner 8325485683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Omar Osman MD PLLC 13 clinicians

Practice addresses (Care Compare)

128 Phoenix Mills Rd
Cooperstown, NY 13326-5716
Phone (607) 544-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
787235-01NYMDRegistered Nurse
F351106-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Osman MD PLLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

128 Phoenix Mills Rd
Cooperstown, NY 13326
Phone (607) 544-2600

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

525 Beahan Rd
Rochester, NY 14624
Phone (585) 247-7880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1316635733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MAIN ST STE 1",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202097",
            "telephone_number": "607-441-3300",
            "fax_number": "607-441-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MAIN ST STE 1",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202097",
            "telephone_number": "607-441-3300",
            "fax_number": "607-441-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGURA",
        "first_name": "JOSSELYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "787235-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351106-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.