Individual provider Active NPI

Nanette Lamm Treadwell, R.P.A.C.

  • Physician Assistant
  • Bath, NY
National Provider Identifier
1558316059
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004508 Issued in NY
Practice address
7571 Ny-54
Bath, NY 14810
Phone
(607) 776-8522
Fax
(845) 586-3411
NPI assigned
May 23, 2006
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004508 NY Primary

Addresses

Primary practice location

7571 Ny-54
Bath, NY 14810

Mailing address

PO Box 41
South Kortright, NY 13842-0041
Phone (607) 538-1307

Other identifiers 1

IdentifierTypeStateIssuer
02458991MedicaidNY

Other names 1

  • Nanette Dorothy Treadwell Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ntreadwell@hahv.org Health Information Exchange (HIE)

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
I20040708001429 NY Practitioner - Physician Assistant 4789662594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004508NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 31, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 31, 2019 Accepting new patients
Northridge Emergency Medical Group Past Accepting new patients
Nes Medical Services of New York PC PastSince May 22, 2022 Accepting new patients
Greater Houston Emergency Physicians PLLC Past Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Locations

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1558316059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "SOUTH KORTRIGHT",
            "state": "NY",
            "postal_code": "138420041",
            "telephone_number": "607-538-1307",
            "fax_number": "845-586-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7571 NY-54",
            "city": "BATH",
            "state": "NY",
            "postal_code": "14810",
            "telephone_number": "607-776-8522",
            "fax_number": "845-586-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "NANETTE",
        "middle_name": "LAMM",
        "credential": "R.P.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458991",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntreadwell@hahv.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "42084 State Highway 28",
            "city": "Margaretville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124552820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANETTE",
            "last_name": "TREADWELL",
            "middle_name": "DOROTHY",
            "credential": "R.P.A.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bath, NY

Sources for this page

Verify at the official NPI Registry.