Elizabeth Gleasman, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

332460 Issued in NY

Practice address

13407 State Route 12
Boonville, NY 13309

Phone

(315) 942-3500

Fax

(315) 942-3618

NPI assigned

Jul 26, 2006

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

George Washington University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rome Memorial Hospital, Inc.Group PAC ID 9638087273, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: egleasman@rmh.medalliesdirect.net
• Direct secure messaging: egleasman@rmhclinics.medentdirect.com

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.

• Rome Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Rome, NY
  • NPI 1255315305
  Medicare reassignment Care Compare group NPD
• Rome Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Rome, NY
  • NPI 1376546440
  NPD
• Atlantic Physician Services of Maryland, P.C.

  • Physician Assistant
  • Wilmington, DE
  • NPI 1730129594

  Nurse Practitioner

  NPD (past)
• Atlantic Physician Services of Maryland, PC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1174632376
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rome Memorial Hospital

  dba Delta Medical

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1700121894

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rome, NY
  • NPI 1306807193

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Boonville, NY
  • NPI 1336100767

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Regional Wound Care Center

  • Clinic/Center
  • Rome, NY
  • NPI 1356689004

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Camden Family Care

  • Primary Care Clinic/Center
  • Camden, NY
  • NPI 1891113965

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Rome, NY
  • NPI 1952362741

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Rome, NY
  • NPI 1376546440
  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  dba Chestnut Commons

  • Physical Therapy Clinic/Center
  • Rome, NY
  • NPI 1851489330

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1487678447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13407 STATE ROUTE 12",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "13309",
            "telephone_number": "315-942-3500",
            "fax_number": "315-942-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 STATE ROUTE 12",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "13309",
            "telephone_number": "315-942-3500",
            "fax_number": "315-942-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASMAN",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "332460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Davis, P.T.
• Toby Kevin Davis, PH.D.
• Timothy Francis Dowling, LCSW
• Michelle Doyle, D.C.
• Patricia Ehlinger, COTA
• Sarah Lynn Glouse, LPN
• Susan Elizabeth Gydesen, LCSW
• Alexis Hartmann, NP
• Hometown Chiropractic, PLLC
• David Hoover, DC

• Nurse Practitioner in Boonville, NY
• Providers in Boonville, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.

Verify at the official NPI Registry.