Individual provider Active NPI

Brenda Jean Pinson, ARNP

  • Family Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1356621866
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2981762 Issued in FL
Practice address
8 Bushey Blvd
Plattsburgh, NY 12901-3761
Phone
(518) 563-3261
Fax
(518) 563-3294
NPI assigned
Aug 29, 2011
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2981762 FL Primary

Addresses

Primary practice location

8 Bushey Blvd
Plattsburgh, NY 12901-3761

Mailing address

8 Bushey Blvd
Plattsburgh, NY 12901-3761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111006000753 FL Practitioner - Nurse Practitioner 5092987495 Reassigns benefits to 1 organization
I20241009003624 NY Practitioner - Nurse Practitioner 5092987495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statline Medical PCGroup PAC ID 7214333525, 10 clinicians

Practice addresses (Care Compare)

3 Sonoma Rd
Cortlandt Manor, NY 10567-5129
Phone (914) 215-4748

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Nov 26, 2012 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Nov 26, 2012 Accepting new patients
Statline Medical PC CurrentSince Sep 26, 2024 Accepting new patients
Southern Heart Group Past Accepting new patients

Locations

425 N Lee St
Ste 203
Jacksonville, FL 32204
Phone (904) 354-8200

7016 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 783-2405

905 Beach Blvd
Jax Bch, FL 32250
Phone (904) 241-8300

8 Bushey Blvd
Plattsburgh, NY 12901
Phone (518) 561-1603

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

200 White Plains Rd
Ste 110
Tarrytown, NY 10591
Phone (914) 848-4343

Organizations & group practices 4

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 1

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1356621866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BUSHEY BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013761",
            "fax_number": "518-563-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BUSHEY BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013761",
            "telephone_number": "518-563-3261",
            "fax_number": "518-563-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSON",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2981762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.