Individual provider Active NPI

Natalia Lynne McCormick, NP

  • Family Nurse Practitioner
  • Marathon, NY
National Provider Identifier
1386130128
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343261 Issued in NY
Practice address
20 East Main Street
Marathon, NY 13803
Phone
(607) 849-3271
NPI assigned
Jul 5, 2018
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 343261 NY Primary

Addresses

Primary practice location

20 East Main Street
Marathon, NY 13803

Mailing address

85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797

Other practice location 1

24 Groton Ave
Cortland, NY 13045-2014
Phone (607) 753-3774

Other practice location 2

4038 West Rd
Cortland, NY 13045-1149
Phone (607) 758-3008

Other practice location 3

85 S West St
Homer, NY 13077
Phone (607) 753-3797

Other practice location 4

23 Central St
Moravia, NY 13118
Phone (315) 497-9066

Other identifiers 2

IdentifierTypeStateIssuer
05251390MedicaidNY
551685OtherNYRN LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)
CONNECT URL Homer Health Information Exchange (HIE)

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
I20181017002819 NY Practitioner - Nurse Practitioner 2769734896 Reassigns benefits to 1 organization

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
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Oct 28, 2024 Accepting new patients
Family Health Network of Central New York, Inc. Past Accepting new patients

Locations

233 Saratoga Rd
Glenville, NY 12302
Phone (518) 930-7497

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

225 S Cascade Dr
Springville, NY 14141
Phone (716) 599-1163

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1386130128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771542",
            "telephone_number": "607-753-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST MAIN STREET",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "13803",
            "telephone_number": "607-849-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Groton Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130452014",
            "country_code": "US",
            "telephone_number": "607-753-3774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4038 West Rd",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451149",
            "country_code": "US",
            "telephone_number": "607-758-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 S West St",
            "address_purpose": "LOCATION",
            "city": "Homer",
            "state": "NY",
            "postal_code": "13077",
            "country_code": "US",
            "telephone_number": "607-753-3797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Central St",
            "address_purpose": "LOCATION",
            "city": "Moravia",
            "state": "NY",
            "postal_code": "13118",
            "country_code": "US",
            "telephone_number": "315-497-9066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "NATALIA",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05251390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "551685",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "20 East Main Street",
            "city": "Marathon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4038 West Rd",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marathon, NY

Sources for this page

Verify at the official NPI Registry.