Individual provider Active NPI

Amy Seguin

  • Family Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1407661705
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356097 Issued in NY
Practice address
675 Route 3
Plattsburgh, NY 12901-6562
Phone
(518) 566-0672
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 356097 NY Primary

Addresses

Primary practice location

675 Route 3
Plattsburgh, NY 12901-6562

Mailing address

675 Route 3
Plattsburgh, NY 12901-6562

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
I20250407000297 NY Practitioner - Nurse Practitioner 1153845649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lake City Primary Care PLLCGroup PAC ID 0143458299, 7 clinicians

Practice addresses (Care Compare)

16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6452
Phone (518) 561-8256

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
356097NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Primary Care PLLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

16 Degrandpre Way
Ste 300
Plattsburgh, NY 12901
Phone (518) 561-8256

Interoperability endpoints

  • Direct secure messaging: aseguin@lakecity.medentdirect.com

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.

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": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1407661705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 ROUTE 3",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ROUTE 3",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016562",
            "telephone_number": "518-566-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUIN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.