Individual provider Active NPI

Ernie S Cougler, NP

  • Family Nurse Practitioner
  • Lisbon, NY
National Provider Identifier
1639514565
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337996 Issued in NY
Practice address
7016 County Route 10
Lisbon, NY 13658
Phone
(315) 393-3227
Fax
(315) 393-1322
NPI assigned
May 6, 2013
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337996 NY Primary
Registered Nurse 163W00000X 364451 NY

Addresses

Primary practice location

7016 County Route 10
Lisbon, NY 13658

Mailing address

77 West Barney St
Gouverneur, NY 13642
Phone (315) 287-4440

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
I20140623002054 NY Practitioner - Nurse Practitioner 7517109416 Reassigns benefits to 2 organizations
Practice locations: Lisbon, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

77 W Barney St
Gouverneur, NY 13642-1040
Phone (315) 287-4440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
364451NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gouverneur Hospital CurrentSince May 5, 2014 Accepting new patients
United Cerebral Palsy Association of the North Country, Inc. CurrentSince Jul 15, 2016 Accepting new patients
Gouverneur Hospital CurrentSince May 5, 2014 Accepting new patients
Lisbon Medical Group PastSince Jul 1, 2013 Accepting new patients

Locations

4 Commerce Ln
Canton, NY 13617
Phone (315) 386-1156

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

Organizations & group practices 4

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 3

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1639514565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WEST BARNEY ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "13642",
            "telephone_number": "315-287-4440",
            "fax_number": "315-287-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 COUNTY ROUTE 10",
            "city": "LISBON",
            "state": "NY",
            "postal_code": "13658",
            "telephone_number": "315-393-3227",
            "fax_number": "315-393-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGLER",
        "first_name": "ERNIE",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337996",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "364451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, NY

Sources for this page

Verify at the official NPI Registry.