Active NPI
Nancy Dicerbo, FNP-C
- Family Nurse Practitioner
- Albany, NY
National Provider Identifier
1376540641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F331402
- Practice address
- 1365 Washington Ave
Ste 300
Albany, NY 12206-1098 - Phone
- (518) 489-4704
- Fax
- (518) 489-0512
- NPI assigned
- Jul 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F331402 | NY | Primary |
Addresses
Primary practice location
1365 Washington Ave
Ste 300
Albany, NY 12206-1098
Mailing address
1365 Washington Ave
Ste 300
Albany, NY 12206-1098
Phone (518) 489-4704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01331402 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Endocrine Group | Family | Past | Accepting new patients |
Organizations & group practices 1
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": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376540641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 WASHINGTON AVE",
"address_2": "STE 300",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061098",
"telephone_number": "518-489-4704",
"fax_number": "518-489-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 WASHINGTON AVE",
"address_2": "STE 300",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061098",
"telephone_number": "518-489-4704",
"fax_number": "518-489-0512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICERBO",
"first_name": "NANCY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F331402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01331402",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.