Active NPI
Lavern Angela Glave, ANP
- Adult Health Nurse Practitioner
- Middletown, NY
National Provider Identifier
1568768216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 495182-1
- Practice address
- 3 Park Circle Dr
Middletown, NY 10940-2945 - Phone
- (914) 843-6424
- Fax
- (845) 341-1032
- NPI assigned
- Jan 27, 2011
- Last updated
- Jan 27, 2011
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 495182-1 | NY | Primary |
Addresses
Primary practice location
3 Park Circle Dr
Middletown, NY 10940-2945
Mailing address
3 Park Circle Dr
Middletown, NY 10940-2945
Phone (914) 843-6424
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
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
Hospital & facility affiliations
- Sullivan County Public Health Services Chha
- Residential Healthcare of NE PA, LLC
- Willcare Chha (Newburgh)
- Garnet Health Medical Center
- Garnet Health Medical Center Catskills
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.92 of 100
- Quality
- 68.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 495182-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Current | Accepting new patients | |
| Middletown Medical PC | Current | Accepting new patients |
Locations
111 Maltese Dr
Middletown, NY 10940
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CRMC Physician Services
- Family Medicine Physician
- Monticello, NY
- NPI 1720039563
Hospital
-
dba Sullivan County Public Health Services
- Home Health Agency
- Liberty, NY
- NPI 1710915400
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- Home Health Agency
- Liberty, NY
- NPI 1770639445
-
- Home Health Agency
- Moosic, PA
- NPI 1215238548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1568768216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PARK CIRCLE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402945",
"telephone_number": "914-843-6424",
"fax_number": "845-341-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PARK CIRCLE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402945",
"telephone_number": "914-843-6424",
"fax_number": "845-341-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAVE",
"first_name": "LAVERN",
"middle_name": "ANGELA",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "495182-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.