NPIMap

Individual provider Active NPI

Rachel Caroline Brousseau, PA

  • Medical Physician Assistant
  • Saugerties, NY
National Provider Identifier
1609374503
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021754 Issued in NY
Practice address
2976 US-9W
Saugerties, NY 12477
Phone
(518) 264-9000
NPI assigned
Jan 25, 2018
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 021754 NY Primary

Addresses

Primary practice location

2976 US-9W
Saugerties, NY 12477

Mailing address

46 Preusser Rd
Craryville, NY 12521-5259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312000523 NY Practitioner - Physician Assistant 8527329499 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021754NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Dec 15, 2023 Accepting new patients
Albany Medical College CurrentSince Feb 6, 2018 Accepting new patients
Albany Medical College CurrentSince Feb 6, 2018 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Apr 30, 2021 Accepting new patients
Columbia Memorial Hospital CurrentSince Dec 15, 2023 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

2976 Route 9W
Saugerties, NY 12477
Phone (518) 264-9400

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: rbrousseau97462@albanymed.direct-ci.com

Organizations & group practices 7

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 7

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1609374503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PREUSSER RD",
            "city": "CRARYVILLE",
            "state": "NY",
            "postal_code": "125215259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 US-9W",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "12477",
            "telephone_number": "518-264-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSEAU",
        "first_name": "RACHEL",
        "middle_name": "CAROLINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

Sources for this page

Verify at the official NPI Registry.