Individual provider Active NPI

William Francis Staub, RPAC

  • Medical Physician Assistant
  • Plattsburgh, NY
National Provider Identifier
1609818988
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0062831 Issued in NY
Practice address
52 Tom Miller Rd
Plattsburgh, NY 12901-1252
Phone
(518) 563-2404
Fax
(518) 563-4033
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0062831 NY Primary

Addresses

Primary practice location

52 Tom Miller Rd
Plattsburgh, NY 12901-1252

Mailing address

52 Tom Miller Rd
Plattsburgh, NY 12901-1252
Phone (518) 563-2404

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
I20040713001496 NY Practitioner - Physician Assistant 2769460823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7100

77 Plaza Blvd
Plattsburgh, NY 12901-6438

91 Plaza Blvd
Plattsburgh, NY 12901-6438
Phone (518) 561-5334

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6283NYMDPhysical Therapist
0062831NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Pathology, PLLC Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Feb 1, 2011 Accepting new patients
Adirondack Radiation Therapy, PC Past Accepting new patients

Locations

52 Tom Miller Rd
Plattsburgh, NY 12901
Phone (518) 324-4000

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

214 Cornelia St
Ste 203
Plattsburgh, NY 12901
Phone (518) 314-3242

Interoperability endpoints

  • Direct secure messaging: wstaub378448@direct.uvmhealth.org

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609818988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011252",
            "telephone_number": "518-563-2404",
            "fax_number": "518-563-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011252",
            "telephone_number": "518-563-2404",
            "fax_number": "518-563-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUB",
        "first_name": "WILLIAM",
        "middle_name": "FRANCIS",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0062831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.