Individual provider Active NPI

Ann J McErleane, PA

  • Medical Physician Assistant
  • Poughkeepsie, NY
National Provider Identifier
1649368820
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10360 Issued in NY
Practice address
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone
(845) 790-5700
Fax
(845) 790-5719
NPI assigned
Oct 11, 2006
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10360 NY Primary
Surgical Physician Assistant 363AS0400X 010360 NY

Addresses

Primary practice location

45 Reade PL
Poughkeepsie, NY 12601-3947

Mailing address

2678 South Rd Ste 202
Poughkeepsie, NY 12601-5254
Phone (845) 790-5700

Other identifiers 1

IdentifierTypeStateIssuer
03742261MedicaidNY

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
I20070723000227 NY Practitioner - Physician Assistant 3173624079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Valley Radiologists PCGroup PAC ID 3779474853, 24 clinicians

Practice addresses (Care Compare)

45 Reade PL
Poughkeepsie, NY 12601-3947

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

6525 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 871-3760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010360NYMDOccupational Therapist
10360NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Medical CurrentSince Nov 1, 2007 Accepting new patients
Hudson Valley Radiologists, PC CurrentSince Sep 15, 2019 Accepting new patients
Hudson Valley Radiologists, PC CurrentSince Sep 15, 2019 Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

200 Westage Business Ctr Dr
Fishkill, NY 12524
Phone (845) 838-8411

1240 Ulster Ave
Kingston, NY 12401
Phone (845) 443-8720

1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622

1 Columbia St
Fl 1
Poughkeepsie, NY 12601
Phone 8454544700122

21 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 214-1880

2678 South Rd
Ste 202
Poughkeepsie, NY 12601
Phone (845) 471-2848

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

6511 Spring Brook Ave
Bldg In
Rhinebeck, NY 12572

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 6

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 4

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1649368820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2678 SOUTH RD STE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015254",
            "telephone_number": "845-790-5700",
            "fax_number": "845-790-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-790-5700",
            "fax_number": "845-790-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCERLEANE",
        "first_name": "ANN",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "10360",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03742261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.