NPIMap

Individual provider Active NPI

Rachael Stocking

  • Family Nurse Practitioner
  • Rome, NY
National Provider Identifier
1407390883
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341069-1 Issued in NY
Practice address
111 E Chestnut St
Rome, NY 13440-2886
Phone
(315) 337-8584
Fax
(315) 339-4684
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 341069-1 NY Primary

Addresses

Primary practice location

111 E Chestnut St
Rome, NY 13440-2886

Mailing address

111 E Chestnut St
Rome, NY 13440-2886
Phone (315) 337-8584

Other identifiers 1

IdentifierTypeStateIssuer
341069-1OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810000058 NY Practitioner - Nurse Practitioner 5496026403 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1020 Vestal Pkwy E
Vestal, NY 13850-1748
Phone (607) 444-6868

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341069-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Jan 1, 2018 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Current Accepting new patients
University OB/GYN Associates CurrentSince Jan 13, 2018 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Apr 19, 2023 Accepting new patients
United Medical Associates, P.C. CurrentSince Jan 1, 2018 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Apr 19, 2023 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jan 24, 2018 Accepting new patients
Planned Parenthood of Greater New York Inc Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

276-280 Robinson St
Binghamton, NY 13904
Phone (607) 722-2769

30 Harrison St
Ste 460
Johnson City, NY 13790
Phone (607) 763-8101

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162

3101 Shippers Rd
Ste 102
Vestal, NY 13850
Phone (607) 251-2100

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1407390883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E CHESTNUT ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402886",
            "telephone_number": "315-337-8584",
            "fax_number": "315-339-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CHESTNUT ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402886",
            "telephone_number": "315-337-8584",
            "fax_number": "315-339-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKING",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341069-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "341069-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.