Individual provider Active NPI

Mary Elizabeth Mastrianni, FNP

  • Family Nurse Practitioner
  • Schenectady, NY
National Provider Identifier
1588004717
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337972 Issued in NY
Practice address
1201 Nott St Ste 204
Schenectady, NY 12308-2589
Phone
(518) 243-3388
Fax
(518) 243-1329
NPI assigned
Jul 2, 2013
Last updated
Feb 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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 337972 NY Primary

Addresses

Primary practice location

1201 Nott St Ste 204
Schenectady, NY 12308-2589

Mailing address

1201 Nott St Ste 204
Schenectady, NY 12308-2589
Phone (518) 243-3388

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
I20140117000004 NY Practitioner - Nurse Practitioner 7214165372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urban Health Plan IncGroup PAC ID 3173517281, 158 clinicians

Practice addresses (Care Compare)

1001 Jennings St
Bronx, NY 10460-6032
Phone (347) 407-7100

1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440

1515 Southern Blvd
Bronx, NY 10460-5980
Phone (718) 589-1600

866 E Tremont Ave
Bronx, NY 10460-4201
Phone (347) 284-0595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337972NYMDFamily Nurse Practitioner

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1588004717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST STE 204",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-243-3388",
            "fax_number": "518-243-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST STE 204",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-243-3388",
            "fax_number": "518-243-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRIANNI",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.