Alexys Renee Viscomi, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

383551 Issued in NY

Practice address

1 Atwell Rd
Cooperstown, NY 13326-1394

Phone

(607) 547-3480

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Alexys Renee Bolton Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Blooming Pediatric & Family Nurse Practitioners PLLC

  • Family Nurse Practitioner
  • New Hartford, NY
  • NPI 1801548177
  Medicare reassignment NPD
• Mary Imogene Bassett Hospital

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment NPD
• Mary Imogene Bassett Hospital

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1609560671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OXFORD XING",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133200",
            "telephone_number": "315-662-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261394",
            "telephone_number": "607-547-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Oxford Xing",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134133200",
            "country_code": "US",
            "telephone_number": "315-662-0162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCOMI",
        "first_name": "ALEXYS",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXYS",
            "last_name": "BOLTON",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janine Velardi
• Sushma Venugopal, M.D.
• Katherine Vest
• Shanamae Victor, P.A
• Jose Antonio Villena V, MD
• Alicia Volo, P.A.
• Annette Volpe, PA-C
• Luann M Voorhees, N.P.
• Charlene H Vrooman, R.N.
• Rosa Pauliina Vuojolainen, CNM

• Pediatric Nurse Practitioner in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.