Individual provider Active NPI

Simonette Camacho Cipolla, ACNP

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1396912929
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F430093-1 Issued in NY
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F430093-1OtherNYNP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203001501 NY Practitioner - Nurse Practitioner 7719359520 Reassigns benefits to 2 organizations

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
Arnot Medical Services PLLCGroup PAC ID 0840450748, 91 clinicians

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 Hospital, Elmira, NY, CCN 330090

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
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

LicenseStateTypeSpecialty
F430093-1NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Dec 5, 2022 Accepting new patients
Arnot Medical Services PLLC CurrentSince Dec 5, 2022 Accepting new patients
Arnot Ogden Medical Center CurrentSince Dec 5, 2022 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

  • Direct secure messaging: scipolla26841@direct.xtensys.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.