Individual provider Active NPI

Ceirra Robin Tennant, NP

  • Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1639777451
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F346301-01 Issued in NY
Practice address
169 Riverside Dr
Binghamton, NY 13905-4198
Phone
(607) 798-5000
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F346301-01 NY Primary

Addresses

Primary practice location

169 Riverside Dr
Binghamton, NY 13905-4198

Mailing address

212 Lincoln Ave Apt 5
Endicott, NY 13760-5158
Phone (607) 240-1475

Other practice location 1

301 Mill Rd Ste U5
Hewlett, NY 11557-1232
Phone (443) 383-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201125002454 NY Practitioner - Nurse Practitioner 2668883588 Reassigns benefits to 4 organizations
I20250103003381 PA Practitioner - Nurse Practitioner 2668883588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pons Physician Services PLLCGroup PAC ID 9931416187, 15 clinicians

Practice addresses (Care Compare)

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 937-8800

Hospital & facility affiliations

  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F346301-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pons Physician Services, PLLC Nurse Practitioner CurrentSince Oct 31, 2024 Accepting new patients
Consonant Healing Medical Associates Nurse Practitioner CurrentSince Nov 12, 2024 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Nurse Practitioner CurrentSince Dec 16, 2020 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Senf NP Family Medicine PLLC CurrentSince May 7, 2024 Accepting new patients
Arnot Medical Services PLLC CurrentSince Apr 9, 2024 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Dec 16, 2020 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

1 Whittier Way
Ghent, NY 12075
Phone (518) 828-0800

10421 State Route 40
Ste 300
Granville, NY 12832

301 Mill Rd
Ste U5
Hewlett, NY 11557

100 John Roemmelt Dr
Ste 200
Horseheads, NY 14845
Phone (607) 795-2850

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

418 S Hamilton St
#109A
Painted Post, NY 14870
Phone (607) 936-2089

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 5

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1639777451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LINCOLN AVE APT 5",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605158",
            "telephone_number": "607-240-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RIVERSIDE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054198",
            "telephone_number": "607-798-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Mill Rd Ste U5",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115571232",
            "country_code": "US",
            "telephone_number": "443-383-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "CEIRRA",
        "middle_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F346301-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.