Individual provider Active NPI

Heather Jade Amatuccio, FNP-C

  • Family Nurse Practitioner
  • Norwich, NY
National Provider Identifier
1609652965
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351928 Issued in NY
Practice address
5 Cortland St
Norwich, NY 13815-1316
Phone
(607) 334-6378
Fax
(607) 336-1304
NPI assigned
Sep 4, 2023
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 351928 NY Primary

Addresses

Primary practice location

5 Cortland St
Norwich, NY 13815-1316

Mailing address

5 Cortland St
Norwich, NY 13815-1316
Phone (607) 334-6378

Other identifiers 1

IdentifierTypeStateIssuer
07853065MedicaidNY

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
I20260105001351 NY Practitioner - Nurse Practitioner 1951897495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Planning of South Central New York IncGroup PAC ID 5395636252, 6 clinicians

Practice addresses (Care Compare)

37 Dietz St
Oneonta, NY 13820-1882
Phone (607) 432-2250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
351928NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning of South Central New York, Inc. CurrentSince Oct 30, 2025 Accepting new patients

Locations

117 Hawley St
Binghamton, NY 13901
Phone (607) 723-5130

165 Main St
Ste A
Cortland, NY 13045

5 Cortland St
Norwich, NY 13815
Phone (607) 334-6378

37 Dietz St
Oneonta, NY 13820
Phone (607) 432-2250

37 Pleasant St
Sidney, NY 13838
Phone (607) 432-2250

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: heather.amatuccio.1@6285.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6285/brand/1/csg/1/fhir/r4

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": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1609652965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CORTLAND ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151316",
            "telephone_number": "607-334-6378",
            "fax_number": "607-336-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CORTLAND ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151316",
            "telephone_number": "607-334-6378",
            "fax_number": "607-336-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATUCCIO",
        "first_name": "HEATHER",
        "middle_name": "JADE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07853065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.