Active NPI
Kathleen Nicpon, NP
- Family Nurse Practitioner
- West Haverstraw, NY
National Provider Identifier
1467664797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332957
- Practice address
- 51 N Route 9W
West Haverstraw, NY 10993-1127 - Phone
- (845) 786-4109
- Fax
- (845) 786-4526
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | F332957 | NY | Primary |
Addresses
Primary practice location
51 N Route 9W
West Haverstraw, NY 10993-1127
Mailing address
50-51 RT 9W
West Haverstraw, NY 10993-1195
Phone (845) 786-4109
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, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Route 9W
West Haverstraw, NY 10993-1195
Phone (845) 786-4097
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.46 of 100
- Quality
- 73.89
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 75.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332957 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| State of New York | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients |
Locations
51 N Route 9W
West Haverstraw, NY 10993
Phone (845) 786-4060
Organizations & group practices 3
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.
-
- Rehabilitation Hospital Unit
- West Haverstraw, NY
- NPI 1235142472
-
- Specialist
- West Haverstraw, NY
- NPI 1508987348
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1467664797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50-51 RT 9W",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "109931195",
"telephone_number": "845-786-4109",
"fax_number": "845-786-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N ROUTE 9W",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "109931127",
"telephone_number": "845-786-4109",
"fax_number": "845-786-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICPON",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Haverstraw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.