Individual provider Active NPI

Heather Lynn Miner-Goetz, FNP-C

  • Family Nurse Practitioner
  • Glenville, NY
National Provider Identifier
1366105389
Registry record updated Oct 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345983 Issued in NY
Practice address
2 Schlensker Dr
Glenville, NY 12302-6087
Phone
(518) 593-5127
NPI assigned
Oct 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2021

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 345983 NY Primary

Addresses

Primary practice location

2 Schlensker Dr
Glenville, NY 12302-6087

Mailing address

2 Schlensker Dr
Glenville, NY 12302-6087
Phone (518) 593-5127

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
I20220415000125 NY Practitioner - Nurse Practitioner 9739575978 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

84 E State St
Gloversville, NY 12078-1202
Phone (518) 773-8894

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
345983NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carondelet Regional Medical, PC CurrentSince Mar 1, 2022 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Dec 25, 2021 Accepting new patients
St Marys Healthcare CurrentSince Mar 1, 2022 Accepting new patients
Upstate Ny Physician PLLC CurrentSince Nov 29, 2024 Accepting new patients
St. Mary'S Healthcare CurrentSince Mar 1, 2022 Accepting new patients
Wajeeh Sana Physician PC CurrentSince Mar 27, 2024 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

7 Timmerman Ave
St Johnsville, NY 13452
Phone (518) 568-5037

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Organizations & group practices 7

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 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": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1366105389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SCHLENSKER DR",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123026087",
            "telephone_number": "518-593-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SCHLENSKER DR",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123026087",
            "telephone_number": "518-593-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER-GOETZ",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, NY

Sources for this page

Verify at the official NPI Registry.