Individual provider Active NPI

Justin Thomas Bates, FNP-C

  • Family Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1639852676
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352341-01 Issued in NY
Practice address
2 Emma LN
Clifton Park, NY 12065-3763
Phone
(518) 271-1813
NPI assigned
Aug 8, 2023
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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 F352341-01 NY Primary

Addresses

Primary practice location

2 Emma LN
Clifton Park, NY 12065-3763

Mailing address

2 Emma LN
Clifton Park, NY 12065-3763
Phone (518) 271-1813

Other practice location 1

2414 15th St
Troy, NY 12180-1701
Phone (518) 271-1813

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
I20231031002591 NY Practitioner - Nurse Practitioner 4183070998 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
Arthritis Care, P.C.Group PAC ID 7214972058, 4 clinicians

Practice addresses (Care Compare)

2414 15TH St
Troy, NY 12180-1701
Phone (518) 271-1813

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
86.06
Improvement activities
40
Cost
85.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F352341-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Care, P.C. CurrentSince Oct 6, 2023 Accepting new patients
Michelle Ryan Family Health Nurse Practitioner, PLLC PastSince Aug 1, 2023 Accepting new patients
Malta Medical Care, P.C. PastSince Aug 1, 2023 Accepting new patients

Locations

2 Emma Ln
#B
Clifton Park, NY 12065
Phone (518) 271-1813

2414 15th St
Troy, NY 12180
Phone (518) 271-1813

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, 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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1639852676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EMMA LN",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653763",
            "telephone_number": "518-271-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMMA LN",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653763",
            "telephone_number": "518-271-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 15th St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801701",
            "country_code": "US",
            "telephone_number": "518-271-1813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352341-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.