North Wind Primary Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTH WIND PRIMARY CARE PLLC

Practice address

459 Margaret St
Plattsburgh, NY 12901-4605

Phone

(518) 563-6348

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Prof. Joy Good

Title

Credentialing Manager

Phone

(518) 572-6315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Constanty, A-GNP-C

  • Adult Health Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1841806072
  Medicare reassignment Care Compare group NPD
• Carla Kay Hausrath, R.N., N.P.

  • Adult Health Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1508095399
  Medicare reassignment Care Compare group NPD
• Lynn E Schneider, NP

  • Adult Health Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1558371344
  Medicare reassignment Care Compare group NPD
• Johnnie Jacqueline Wren, M.D.

  • Family Medicine Physician
  • Au Sable Forks, NY
  • NPI 1073045746
  Medicare reassignment Care Compare group NPD
• Robert L. Benak, MD

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1063423523
  Medicare reassignment NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1629646690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129014605",
            "telephone_number": "518-563-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129014605",
            "telephone_number": "518-563-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WIND PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "518-572-6315",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.