Individual provider Active NPI

Nikki Anne Fitch, FNP-C

  • Family Medicine Physician
  • Elmira, NY
National Provider Identifier
1326518192
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5011267 Issued in NY
Practice address
1336 Cedar St
Elmira, NY 14904-2951
Phone
(607) 734-3929
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schuyler Hospital Inc 41 clinicians

Practice addresses (Care Compare)

220 Steuben St
Montour Falls, NY 14865-9740
Phone 607535863952353

Hospital & facility affiliations

  • Schuyler Hospital Hospital, Montour Falls, NY, CCN 331313
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190528000916 NY Practitioner - Nurse Practitioner 3173866506 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011267NYMDFamily Medicine Physician
F344170NYMDNurse Practitioner
5011267NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler Hospital Inc CurrentSince Jan 17, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Apr 13, 2019 Accepting new patients
Schuyler Hospital Inc CurrentSince Jan 6, 2026 Accepting new patients
Schuyler Hospital Inc Family Medicine CurrentSince Jan 17, 2022 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Apr 13, 2019 Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1336 Cedar St
Elmira, NY 14904
Phone (607) 734-3929

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F344170 NY
Family Nurse Practitioner 363LF0000X 5011267 NC
Family Medicine Physician 207Q00000X 5011267 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1336 Cedar St
Elmira, NY 14904-2951

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address nfitch142886@direct-guthrie.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2021.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1326518192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 CEDAR ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042951",
            "telephone_number": "607-734-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "NIKKI",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F344170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011267",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "5011267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nfitch142886@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1336 Cedar St",
            "city": "Elmira",
            "state": "NY",
            "country_code": "US",
            "postal_code": "149042951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.