Individual provider Active NPI

Adrienne Larie Brimmer, N.P.

  • Nurse Practitioner
  • Mexico, NY
National Provider Identifier
1477807402
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
337376 Issued in NY
Practice address
16 Fravor Rd
Mexico, NY 13114-3011
Phone
(315) 963-8400
Fax
(315) 630-3169
NPI assigned
Oct 29, 2012
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 337376 NY Primary

Addresses

Primary practice location

16 Fravor Rd
Mexico, NY 13114-3011

Mailing address

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564

Other names 1

  • Adrienne Larie Cean Former name

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
I20130911000197 NY Practitioner - Nurse Practitioner 2365686466 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337376NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Oswego County Health Services, Inc. CurrentSince Apr 12, 2013 Accepting new patients

Locations

16 Fravor Rd
Mexico, NY 13114
Phone (315) 963-8400

26 Academy St
Mexico, NY 13114
Phone 3159638400 ext. 4208

61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274

Interoperability endpoints

  • Direct secure messaging: adrienne.brimmer@nochsi.directbygreenway.com

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": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1477807402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FRAVOR RD",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131143011",
            "telephone_number": "315-963-8400",
            "fax_number": "315-630-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMMER",
        "first_name": "ADRIENNE",
        "middle_name": "LARIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "337376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "CEAN",
            "middle_name": "LARIE",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mexico, NY

Sources for this page

Verify at the official NPI Registry.