Individual provider Active NPI

Michael V. Motise-Pacier, N.P.

  • Family Nurse Practitioner
  • Woodstock, NY
National Provider Identifier
1659822849
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342809 Issued in NY
Practice address
272 Yerry Hill Rd
Woodstock, NY 12498
Phone
(914) 426-2644
NPI assigned
Oct 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 30-307772 NY
Family Nurse Practitioner 363LF0000X 342809 NY Primary

Addresses

Primary practice location

272 Yerry Hill Rd
Woodstock, NY 12498

Mailing address

272 Yerry Hill Rd
Woodstock, NY 12498-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20170731000664 NY Practitioner - Nurse Practitioner 1456622109 Reassigns benefits to 1 organization
I20210820001467 CT Practitioner - Nurse Practitioner 1456622109 Practice locations: Danbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

72 N St
Suite 103
Danbury, CT 06810-5653
Phone (203) 748-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30-307772NYMDAdult Health Nurse Practitioner
342809NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Medical PLLC CurrentSince Jul 8, 2017 Accepting new patients

Locations

15 Fulton Ave
Poughkeepsie, NY 12603
Phone (845) 471-5070

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1659822849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 YERRY HILL RD",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 YERRY HILL RD",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "12498",
            "telephone_number": "914-426-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTISE-PACIER",
        "first_name": "MICHAEL",
        "middle_name": "V.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-22",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30-307772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, NY

Sources for this page

Verify at the official NPI Registry.