Individual provider Active NPI

Lanny L Cleary, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Kingston, NY
National Provider Identifier
1609397512
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308198-1 Issued in NY
Practice address
396 Broadway
Kingston, NY 12401-4626
Phone
(845) 331-3131
NPI assigned
Jun 30, 2017
Last updated
Jun 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F308198-1 NY Primary

Addresses

Primary practice location

396 Broadway
Kingston, NY 12401-4626

Mailing address

9 Highland Ave Apt 14
Catskill, NY 12414-1753
Phone (518) 935-0417

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
I20170913001207 NY Practitioner - Nurse Practitioner 8921371956 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F308198-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC CurrentSince Jun 7, 2024 Accepting new patients
New York Medical Physician Associates PC CurrentSince Jun 7, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 1, 2019 Accepting new patients
Mid Hudson Physicians, P.C. CurrentSince Aug 1, 2017 Accepting new patients
Mikram Jafri MD PC CurrentSince Sep 1, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 1, 2019 Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

325 Northern Blvd
Albany, NY 12204
Phone (518) 328-3605

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

100 New Turnpike Rd
Troy, NY 12182
Phone (518) 235-1410

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

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 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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1609397512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HIGHLAND AVE APT 14",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141753",
            "telephone_number": "518-935-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-331-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "LANNY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308198-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.