Individual provider Active NPI

Carol F Braungart, RN,MS,ACNP-C

  • Nurse Practitioner
  • Niskayuna, NY
National Provider Identifier
1508977398
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F430102 Issued in NY
Practice address
2125 River Rd Ste 103
Niskayuna, NY 12309-1108
Phone
(518) 382-7500
Fax
(518) 382-7572
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 F430102 NY Primary

Addresses

Primary practice location

2125 River Rd Ste 103
Niskayuna, NY 12309-1108

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700

Other identifiers 6

IdentifierTypeStateIssuer
070327000102OtherNYFIDELIS
200314OtherNYSENIOR WHOLE HEALTH
368344OtherNYMVP HEALTHCARE
000498841003OtherNYBSNENY
02208428MedicaidNY
69883OtherNYGHI/HMO

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLC 361 clinicians

Practice addresses (Care Compare)

1201 Nott St
Suite 102
Schenectady, NY 12308-2589
Phone (518) 382-7500

Hospital & facility affiliations

  • Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
  • Vna Home Health Home health agency, Albany, NY, CCN 337019
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Sunnyview Hospital and Rehabilitation Center Hospital, Schenectady, NY, CCN 330406
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

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
I20101013000268 NY Practitioner - Nurse Practitioner 8123210861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335906NYMDRegistered Nurse
F430102NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC CurrentSince Nov 1, 2017 Accepting new patients
Community Care Physicians, PLLC PastSince Nov 1, 2017 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
Community Care Physicians, PLLC PastSince Sep 15, 2010 Accepting new patients

Locations

501 New Karner Rd
Ste 1A
Albany, NY 12205
Phone (518) 452-1337

20 Prospect St
Ste 106
Ballston Spa, NY 12020
Phone (518) 855-3755

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

2125 River Rd
Ste 103
Schenectady, NY 12309
Phone (518) 381-9355

3732 Carman Rd
Schenectady, NY 12303
Phone (518) 356-4132

1201 Nott St
Ste 102
Schenectady, NY 12308
Phone (518) 382-7500

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2125 River Rd
Ste 104
Schenectady, NY 12309
Phone (518) 713-5341

Interoperability endpoints

  • Direct secure messaging: carolbraungart@ccp.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1508977398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 RIVER RD STE 103",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091108",
            "telephone_number": "518-382-7500",
            "fax_number": "518-382-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNGART",
        "first_name": "CAROL",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "RN,MS,ACNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F430102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "070327000102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR WHOLE HEALTH",
            "identifier": "200314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "368344",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000498841003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208428",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/HMO",
            "identifier": "69883",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

Verify at the official NPI Registry.