Active NPI
Nanette Lamm Treadwell, R.P.A.C.
- Physician Assistant
- Bath, NY
National Provider Identifier
1558316059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004508
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02458991 | Medicaid | NY |
Other names 1
- Nanette Dorothy Treadwell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.41 of 100
- Quality
- 90.71
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004508 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Northridge Emergency Medical Group | Past | Accepting new patients | |
| Nes Medical Services of New York PC | Past | 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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Emergency Medicine Physician
- Bath, NY
- NPI 1215455191
-
- Emergency Medicine Physician
- Harris, NY
- NPI 1528338480
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Critical Access Hospital Clinic/Center
- Walton, NY
- NPI 1801132923
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1316363336
-
- Emergency Medicine Physician
- Northridge, CA
- NPI 1093771222
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.