Individual provider Active NPI

Paula J George, FNP

  • Family Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1346310471
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332201 Issued in NY
Practice address
16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6451
Phone
(518) 561-8256
NPI assigned
Nov 8, 2006
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332201 NY Primary
Nurse Practitioner 363L00000X 332201 NY

Addresses

Primary practice location

16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6451

Mailing address

16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6451
Phone (518) 561-8256

Other practice location 1

23 Hammond Ln
Plattsburgh, NY 12901-2000
Phone (518) 562-7305

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
I20130814000071 NY Practitioner - Nurse Practitioner 6305088733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Lake City Primary Care PLLCGroup PAC ID 0143458299, 7 clinicians

Practice addresses (Care Compare)

16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6452
Phone (518) 561-8256

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332201NYMDNurse Practitioner
F332201NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center Nurse Practitioner CurrentSince Oct 30, 2023 Accepting new patients
Lake City Primary Care PLLC CurrentSince Jan 1, 2014 Accepting new patients

Locations

16 Degrandpre Way
Ste 300
Plattsburgh, NY 12901
Phone (518) 561-8256

23 Hammond Ln
Plattsburgh, NY 12901
Phone (518) 561-1322

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

Interoperability endpoints

  • Direct secure messaging: pgeorge@lakecity.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1346310471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY",
            "address_2": "SUITE 300",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016451",
            "telephone_number": "518-561-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY",
            "address_2": "SUITE 300",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016451",
            "telephone_number": "518-561-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Hammond Ln",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012000",
            "country_code": "US",
            "telephone_number": "518-562-7305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332201",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "332201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.