Active NPI
Debra L Iselo, FNP-BC
- Family Nurse Practitioner
- New Hartford, NY
National Provider Identifier
1437439353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336760
- Practice address
- 1729 Burrstone Rd
New Hartford, NY 13413-1001 - Phone
- (315) 798-1702
- NPI assigned
- Aug 23, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336760 | NY | Primary |
Addresses
Primary practice location
1729 Burrstone Rd
New Hartford, NY 13413-1001
Mailing address
115 Applewood Dr
Ilion, NY 13357-9732
Phone (315) 895-0038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03396361 | Medicaid | NY |
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5584 E Main St
Verona, NY 13478-3531
Phone (315) 361-1041
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of the Masonic Hall and Asylum Fund | Current | Accepting new patients | |
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Current | Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Current | Accepting new patients | |
| Department of Medicine Medical Service Group | Current | Accepting new patients | |
| Emergency Care Services of New York, P.C. | Current | Accepting new patients |
Locations
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
2150 Bleecker St
Utica, NY 13501
Phone (315) 798-4800
Interoperability endpoints
- diselo165015@direct.upstate.edu
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Skilled Nursing Facility
- Utica, NY
- NPI 1275597064
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hamilton, NY
- NPI 1992707608
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1437439353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 APPLEWOOD DR",
"city": "ILION",
"state": "NY",
"postal_code": "133579732",
"telephone_number": "315-895-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 BURRSTONE RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131001",
"telephone_number": "315-798-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISELO",
"first_name": "DEBRA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03396361",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.