Individual provider Active NPI

Nancy M. Scanlan-Rathbun, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1588996896
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401207 Issued in NY
Practice address
63 Broad St
Plattsburgh, NY 12901-3315
Phone
(518) 563-8000
Fax
(518) 563-9001
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401207 NY Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 0184588-01 NY

Addresses

Primary practice location

63 Broad St
Plattsburgh, NY 12901-3315

Mailing address

63 Broad St
Plattsburgh, NY 12901-3315
Phone (518) 563-8000

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
I20100630000571 NY Practitioner - Nurse Practitioner 4082745476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2155 State Route 22B
Morrisonville, NY 12962-3417
Phone (518) 563-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F401207NYMDPsychiatric/Mental Health Nurse Practitioner
0184588-01NYMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince May 1, 2014 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Apr 21, 2010 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Apr 21, 2010 Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 534-9666

63 Broad St
Plattsburgh, NY 12901
Phone (518) 563-1160

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1588996896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BROAD ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013315",
            "telephone_number": "518-563-8000",
            "fax_number": "518-563-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BROAD ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013315",
            "telephone_number": "518-563-8000",
            "fax_number": "518-563-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN-RATHBUN",
        "first_name": "NANCY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401207",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "0184588-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.