Individual provider Active NPI

Michelle Johnson Winsor, FNP-C

  • Family Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1467700823
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337524-1 Issued in NY
Practice address
2220 Vestal Pkwy E FL 2
Vestal, NY 13850-1947
Phone
(607) 306-7546
Fax
(607) 821-7848
NPI assigned
Aug 16, 2012
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 F337524-1 NY Primary

Addresses

Primary practice location

2220 Vestal Pkwy E FL 2
Vestal, NY 13850-1947

Mailing address

2220 Vestal Pkwy E FL 2
Vestal, NY 13850-1947
Phone (607) 306-7546

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
I20121105000640 NY Practitioner - Nurse Practitioner 7719137421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broome Family Nurse Practitioners PCGroup PAC ID 0648504274, 5 clinicians

Practice addresses (Care Compare)

2220 Vestal Pkwy
FL 2
Vestal, NY 13850-1947
Phone (607) 306-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F337524-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Broome Family Nurse Practitioners PC Family CurrentSince Jul 1, 2019 Accepting new patients
Schweiger Dermatology PLLC PastSince Aug 9, 2021 Accepting new patients

Locations

2220 Vestal Pkwy
#2
Vestal, NY 13850
Phone (607) 306-7546

2220 Vestal Pkwy E
#2
Vestal, NY 13850
Phone (607) 306-7546

Interoperability endpoints

  • Direct secure messaging: michellew@bfnp.medentdirect.com

Organizations & group practices 2

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 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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1467700823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 VESTAL PKWY E FL 2",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501947",
            "telephone_number": "607-306-7546",
            "fax_number": "607-821-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 VESTAL PKWY E FL 2",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501947",
            "telephone_number": "607-306-7546",
            "fax_number": "607-821-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSOR",
        "first_name": "MICHELLE",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337524-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.