Individual provider Active NPI

Meriam Bulay Pepperine

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1578335766
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352316-01 Issued in NY
Practice address
1001 Noyes St
Utica, NY 13502-4400
Phone
(315) 624-9470
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 F352316-01 NY Primary

Addresses

Primary practice location

1001 Noyes St
Utica, NY 13502-4400

Mailing address

2004 Sunset Ave
Utica, NY 13502-5517
Phone (315) 864-0947

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
I20240104004264 NY Practitioner - Nurse Practitioner 7618328550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Family Health Center, IncorporatedGroup PAC ID 5092007104, 6 clinicians

Practice addresses (Care Compare)

1001 Noyes St
Utica, NY 13502-4400
Phone (315) 219-6354

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F352316-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Family Health Center Incorporated CurrentSince Nov 22, 2023 Accepting new patients
Upstate Family Health Center Incorporated PastSince Nov 22, 2023 Accepting new patients

Locations

205 W Dominick St
Rome, NY 13440
Phone (315) 624-9470

205 W Dominick St
Ste A
Rome, NY 13440
Phone (315) 219-6354

1002 Oswego St
Utica, NY 13502
Phone (315) 798-8868

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEJGAD
  • Direct secure messaging: meriam.pepperine@ufhcinc.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1578335766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025517",
            "telephone_number": "315-864-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NOYES ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024400",
            "telephone_number": "315-624-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPERINE",
        "first_name": "MERIAM",
        "middle_name": "BULAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352316-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.