Lauren Blanchard
Individual provider Active NPI Nurse Practitioner · Amsterdam, NY
NPI 1659199396 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1659199396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 354992 (NY)
- Practice address
- 425 Guy Park Ave
Amsterdam, NY 12010-1043 - Phone
- (518) 841-7432
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Mary'S Healthcare
Practice addresses (Care Compare)
425 Guy Park Ave
Amsterdam, NY 12010-1043
Phone (518) 770-7568
Hospital & facility affiliations
- St Marys Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241211004070 | NY | Practitioner - Nurse Practitioner | 3375079593 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354992 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Healthcare | Current |
Accepting new patients | |
| St. Mary'S Healthcare | Current |
Accepting new patients |
Locations
425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330
425 Guy Park Ave
Ste 300
Amsterdam, NY 12010
380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 354992 | NY | Yes |
Addresses
Primary practice location
425 Guy Park Ave
Amsterdam, NY 12010-1043
Mailing address
92 Bockes Rd
Greenfield Center, NY 12833-1014
Phone (518) 844-6624
Other providers in Amsterdam, NY
- Yusuf Khalid Bhatti
- Cristiana Bianchi
- Robert A Bielawa
- Elaine Rose Blackman
- Beth Donovan Blaha
- Sara Ann Boerenko
- David Andrew Boice
- Tiffany L Boster
- Leslieann Boucaud
- Marcella Bouton
All providers in Amsterdam, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.