Individual provider Active NPI

Stephanie M Burwell, FNP

  • Family Nurse Practitioner
  • Burnt Hills, NY
National Provider Identifier
1437648078
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
660131 Issued in NY
Practice address
848 Route 50
Burnt Hills, NY 12019
Phone
(518) 831-1500
Fax
(518) 377-1677
NPI assigned
May 9, 2018
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 660131 NY Primary

Addresses

Primary practice location

848 Route 50
Burnt Hills, NY 12019

Mailing address

848 State Route 50
Burnt Hills, NY 12027-9511
Phone (518) 831-1500

Other identifiers 1

IdentifierTypeStateIssuer
05349679MedicaidNY

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
I20180907000798 NY Practitioner - Nurse Practitioner 9335499631 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343188NYMDAnesthesiology Physician
660131NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Schenectady Gastroenterology Associates, PC Single Specialty CurrentSince Sep 1, 2018 Accepting new patients

Locations

848 State Route 50
Burnt Hills, NY 12027
Phone (518) 831-1500

1 West Ave
Ste 130
Saratoga Springs, NY 12866
Phone (518) 831-1500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FECGDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1437648078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 STATE ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279511",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12019",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURWELL",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "660131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05349679",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

Verify at the official NPI Registry.