Individual provider Active NPI

Stephen P Berwind, MSN NP

  • Family Nurse Practitioner
  • Skaneateles, NY
National Provider Identifier
1487755294
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3303661 Issued in NY
Practice address
791 W Genesee Street Rd
Skaneateles, NY 13152-9377
Phone
(315) 685-7544
Fax
(315) 685-7549
NPI assigned
Sep 26, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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 F3303661 NY Primary

Addresses

Primary practice location

791 W Genesee Street Rd
Skaneateles, NY 13152-9377

Mailing address

791 W Genesee Street Rd
Skaneateles, NY 13152-9377
Phone (315) 685-7544

Other identifiers 1

IdentifierTypeStateIssuer
01963244MedicaidNY

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
I20101011000655 NY Practitioner - Nurse Practitioner 8123210010 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians

Practice addresses (Care Compare)

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142

5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone (315) 251-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3303661NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Sep 3, 2024 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 3, 2024 Accepting new patients
Auburn Community Hospital CurrentSince Sep 3, 2024 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 3, 2024 Accepting new patients
Marc P Pietropaoli MD PC CurrentSince Mar 4, 2002 Accepting new patients
St Josephs Medical PC CurrentSince Jan 1, 2011 Accepting new patients
North Medical PC Current Accepting new patients

Locations

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5100 W Taft Rd
Ste 4F
Liverpool, NY 13088
Phone (315) 234-9171

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

791 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-7544

Interoperability endpoints

  • Direct secure messaging: stephen.berwind.1@29290.direct.athenahealth.com
  • Direct secure messaging: stephen.berwind@cinq-nyipa.medentdirect.com

Organizations & group practices 9

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1487755294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529377",
            "telephone_number": "315-685-7544",
            "fax_number": "315-685-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529377",
            "telephone_number": "315-685-7544",
            "fax_number": "315-685-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERWIND",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MSN NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3303661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01963244",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

Verify at the official NPI Registry.