Individual provider Active NPI

Denise McGovern, FNP

  • Family Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1568815819
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340781 Issued in NY
Practice address
900 Route 376, Suite H
Wappingers Falls, NY 12590
Phone
(845) 204-9260
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340781 NY Primary

Addresses

Primary practice location

900 Route 376, Suite H
Wappingers Falls, NY 12590

Mailing address

222 Route 299
Highland, NY 12528-2524
Phone (845) 691-3627

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
I20161116001471 NY Practitioner - Nurse Practitioner 4183903032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340781NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstcare Medical, PC CurrentSince Jun 8, 2017 Accepting new patients

Locations

222 Route 299
Highland, NY 12528
Phone (845) 691-3627

Organizations & group practices 1

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1568815819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 299",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282524",
            "telephone_number": "845-691-3627",
            "fax_number": "845-691-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 376, SUITE H",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "12590",
            "telephone_number": "845-204-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.