Individual provider Active NPI

Amy Shoesmith, M.S., F.N.P.

  • Family Nurse Practitioner
  • Tannersville, NY
National Provider Identifier
1477948123
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339344-1 Issued in NY
Practice address
6171 Rte 23a
Tannersville, NY 12485
Phone
(518) 589-6843
Fax
(518) 943-4437
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 626609 NY
Family Nurse Practitioner 363LF0000X F339344-1 NY Primary

Addresses

Primary practice location

6171 Rte 23a
Tannersville, NY 12485

Mailing address

6171 Rte 23a
Tannersville, NY 12485
Phone (518) 589-6843

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
I20150618000457 NY Practitioner - Nurse Practitioner 9537470489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

11 Moriah Rd
Unit 102
Glenmont, NY 12077-2981
Phone (518) 626-8665

1438 Western Ave
Albany, NY 12203-3421
Phone (518) 649-9986

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
626609NYMDRegistered Nurse
F339344-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Nov 11, 2024 Accepting new patients

Locations

271 Grant Ave
Auburn, NY 13021
Phone (315) 704-6097

3916 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 366-1215

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1477948123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 RTE 23A",
            "city": "TANNERSVILLE",
            "state": "NY",
            "postal_code": "12485",
            "telephone_number": "518-589-6843",
            "fax_number": "518-943-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 RTE 23A",
            "city": "TANNERSVILLE",
            "state": "NY",
            "postal_code": "12485",
            "telephone_number": "518-589-6843",
            "fax_number": "518-943-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOESMITH",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "M.S., F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "626609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339344-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tannersville, NY

Sources for this page

Verify at the official NPI Registry.