Individual provider Active NPI

Cori A Pane, F.N.P.

  • Family Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1417973074
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334361 Issued in NY
Practice address
200 Front St
Vestal, NY 13850-1559
Phone
(607) 748-7468
Fax
(607) 754-6130
NPI assigned
Jul 15, 2006
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 334361 NY Primary

Addresses

Primary practice location

200 Front St
Vestal, NY 13850-1559

Mailing address

33 Lewis Rd
2ND FL
Binghamton, NY 13905-1040
Phone (607) 729-8156

Other identifiers 1

IdentifierTypeStateIssuer
01376512MedicaidNY

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
I20041015000724 NY Practitioner - Nurse Practitioner 3072573880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians
United Medical Associates PCGroup PAC ID 0345144978, 229 clinicians

Practice addresses (Care Compare)

179 N Broad St
Uhs Senior Living Norwich
Norwich, NY 13815-1019
Phone (607) 337-4111

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6622

46 Harrison St
Johnson City, NY 13790-2120
Phone (607) 729-4942

52 Harrison St
FL 2
Johnson City, NY 13790-2120
Phone (607) 748-7468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.59 of 100Reported as group
Quality
78.3
Promoting interoperability
100
Improvement activities
40
Cost
72.17

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334361NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince May 1, 2016 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Nov 8, 2019 Accepting new patients
Chenango Memorial Hospital, Inc. CurrentSince Nov 8, 2019 Accepting new patients
United Medical Associates, P.C. CurrentSince May 1, 2016 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

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

46 Harrison St
Johnson City, NY 13790
Phone (607) 729-4942

52 Harrison St
#2
Johnson City, NY 13790
Phone (607) 729-1521

52 Harrison St
Fl 2
Johnson City, NY 13790
Phone (607) 729-1521

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

4 Newton Ave
Norwich, NY 13815
Phone 60733741112167

200 Front St
Vestal, NY 13850
Phone (607) 658-1003

Organizations & group practices 5

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 4

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1417973074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "2ND FL",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051040",
            "telephone_number": "607-729-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRONT ST",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-748-7468",
            "fax_number": "607-754-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANE",
        "first_name": "CORI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01376512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.