Carla Kay Hausrath, R.N., N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

305178 Issued in NY

Practice address

210 Cornelia St
Suite 202
Plattsburgh, NY 12901-2318

Phone

(518) 563-6348

Fax

(518) 563-6378

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Carla Kay McCormick Former name

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

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Wind Primary Care PLLCGroup PAC ID 4587066956, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCR / HCR Home Care Chha (Plattsburgh) Home health agency, Plattsburgh, NY, CCN 337024
• The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
• Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chausrath@northwindprimarycare.medentdirect.com

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.

• North Wind Primary Care PLLC

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1629646690
  Medicare reassignment Care Compare group NPD

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

• Champlain Valley Physicians Hospital Medical Center

  • General Acute Care Hospital
  • Plattsburgh, NY
  • NPI 1033270699
  Care Compare affiliation
• Elizabethtown Community Hospital

  • Ambulance
  • Elizabethtown, NY
  • NPI 1487923637

  Hospital

  Care Compare affiliation
• Elizabethtown Community Hospital

  • Critical Access Hospital
  • Elizabethtown, NY
  • NPI 1891785184
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Plattsburgh, NY
  • NPI 1013354539
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Plattsburgh, NY
  • NPI 1215203740
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Plattsburgh, NY
  • NPI 1588938864
  Care Compare affiliation
• L Woerner Inc

  • Home Health Agency
  • Oneonta, NY
  • NPI 1649575549
  Care Compare affiliation

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1508095399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 202",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012318",
            "telephone_number": "518-563-6348",
            "fax_number": "518-563-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 202",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012318",
            "telephone_number": "518-563-6348",
            "fax_number": "518-563-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSRATH",
        "first_name": "CARLA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "R.N., N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305178",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "5229711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "MCCORMICK",
            "middle_name": "KAY",
            "prefix": "MISS",
            "credential": "R. N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent Wood Hastings, MD
• Jessica Rae Hatfield, RPAC
• Darcy Elias Hathaway, LCSW-R
• Mark Hatton
• Linda Marie Haubner, FNP
• Jenna Hayden, MSED
• Annette Waffner Head
• Carrie Healy
• Chanelle Diana Heath
• Jamie K Heath, OT

• Adult Health Nurse Practitioner in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.