Active NPI
Simonette Camacho Cipolla, ACNP
- Acute Care Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F430093-1
- Practice address
- 1 Gustave Levy Place Box #1458
Mount Sinai Hospital
New York, NY 10029 - Phone
- (212) 241-5544
- NPI assigned
- May 13, 2008
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F430093-1 | NY | Primary |
Addresses
Primary practice location
1 Gustave Levy Place Box #1458
Mount Sinai Hospital
New York, NY 10029
Mailing address
1 Gustave Levy Place Box #1458
Mount Sinai Hospital
New York, NY 10029
Phone (212) 241-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F430093-1 | Other | NY | NP LICENCE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
571 Saint Josephs Blvd
Suite 304
Elmira, NY 14901-3234
Phone (607) 737-7012
Hospital & facility affiliations
- Arnot Ogden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 55.31
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F430093-1 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients |
Locations
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
600 Fitch St
Ste 202
Elmira, NY 14905
Phone (607) 735-5764
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050
600 Roe Ave
Ste 1A
Elmira, NY 14905
Phone (607) 737-4130
571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050
Interoperability endpoints
- scipolla26841@direct.xtensys.com
- simonette.cipolla@arn.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1396912929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE LEVY PLACE BOX #1458",
"address_2": "MOUNT SINAI HOSPITAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE LEVY PLACE BOX #1458",
"address_2": "MOUNT SINAI HOSPITAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIPOLLA",
"first_name": "SIMONETTE",
"middle_name": "CAMACHO",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F430093-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENCE",
"identifier": "F430093-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.