Active NPI
Brooke Micaela McBride, FNP
- Family Nurse Practitioner
- Mayfield, NY
National Provider Identifier
1548720063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348928
- Practice address
- 2497 Ny-30
Mayfield, NY 12117 - Phone
- (518) 661-5493
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 101.0134290 | VT | |
| Family Nurse Practitioner | 363LF0000X | 348928 | NY | Primary |
Addresses
Primary practice location
2497 Ny-30
Mayfield, NY 12117
Mailing address
2497 Ny-30
Mayfield, NY 12117
Phone (518) 661-5493
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2554 State Route 9
Ballston Spa, NY 12020-6312
Phone (518) 899-5002
Hospital & facility affiliations
- Saratoga Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.51 of 100
- Quality
- 56.19
- Improvement activities
- 40
- Cost
- 75.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Ryan Family Health Nurse Practitioner, PLLC | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| Saratoga Hospital | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Malta Medical Care, P.C. | Current | Accepting new patients |
Locations
2554 State Route 9
Malta, NY 12020
Phone (518) 899-5002
3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800
Interoperability endpoints
- brookemcbride@ryanfamilyhealth.medentdirect.com
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.
-
- Nurse Practitioner
- Ballston Spa, NY
- NPI 1447954136
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
-
- Clinic/Center
- Ballston Spa, NY
- NPI 1518135979
-
- Community/Retail Pharmacy
- Saratoga Springs, NY
- NPI 1164148110
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1700120482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1548720063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2497 NY-30",
"city": "MAYFIELD",
"state": "NY",
"postal_code": "12117",
"telephone_number": "518-661-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2497 NY-30",
"city": "MAYFIELD",
"state": "NY",
"postal_code": "12117",
"telephone_number": "518-661-5493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "BROOKE",
"middle_name": "MICAELA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2022-04-07",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "101.0134290",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "348928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.