Individual provider Active NPI

Patricia Barletta, M.S. PA

  • Physician Assistant
  • Clay, NY
National Provider Identifier
1326419086
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019186 Issued in NY
Practice address
4214 Hunting Creek Dr
Clay, NY 13041-8728
Phone
(315) 263-4525
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019186 NY Primary

Addresses

Primary practice location

4214 Hunting Creek Dr
Clay, NY 13041-8728

Mailing address

4214 Hunting Creek Dr
Clay, NY 13041-8728
Phone (315) 263-4525

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
I20151201000370 NY Practitioner - Physician Assistant 7315247194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

3800 W Genesee St
Syracuse, NY 13219-1928
Phone (315) 552-9080

3840 State Route 31
Liverpool, NY 13090-1310
Phone (315) 715-6319

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
019186NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Emergency Physicians LLP Physician Assistant CurrentSince Nov 1, 2015 Accepting new patients
Port City Emergency Physicians LLP Physician Assistant CurrentSince Nov 1, 2015 Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, P.C. Past Accepting new patients

Locations

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

Organizations & group practices 6

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1326419086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 HUNTING CREEK DR",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418728",
            "telephone_number": "315-263-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 HUNTING CREEK DR",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130418728",
            "telephone_number": "315-263-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLETTA",
        "first_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "M.S. PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay, NY

Sources for this page

Verify at the official NPI Registry.