Active NPI
Stephanie Jean Mead, RN
- Family Nurse Practitioner
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 309596
- Practice address
- 400 Patroon Creek Blvd
Albany, NY 12206-5013 - Phone
- (518) 489-0044
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 612322 | NY | |
| Family Nurse Practitioner | 363LF0000X | 309596 | NY | Primary |
Addresses
Primary practice location
400 Patroon Creek Blvd
Albany, NY 12206-5013
Mailing address
449 Route 146 Ste 101
Halfmoon, NY 12065-3239
Phone (518) 373-3924
Other practice location 1
2 Palisades Dr
Albany, NY 12205-1438
Phone (518) 458-2000
Other practice location 2
2 New Hampshire Ave Ste 200
Troy, NY 12180-1762
Phone (518) 458-2000
Other practice location 3
156 Quaker Rd
Queensbury, NY 12804-1718
Phone (518) 458-2000
Other practice location 4
855 Route 146
Clifton Park, NY 12065-3885
Phone (518) 458-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05959645 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Patroon Creek Blvd
Suite 1
Albany, NY 12206-5012
Phone (518) 489-0444
Hospital & facility affiliations
- Albany Medical Center Hospital
- Samaritan Hospital of Troy, New York
- St Peter'S Hospital
- Columbia Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 612322 | NY | MD | Registered Nurse |
| 309596 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Health Partners Medical Associates, P.C. | Current | Accepting new patients | |
| New York Oncology Hematology PC | Current | Accepting new patients | |
| New York Oncology Hematology, P.C. | Current | Accepting new patients |
Locations
400 Patroon Creek Blvd
Ste 210
Albany, NY 12206
Phone (518) 459-8106
43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149
2 Palisades Dr
Albany, NY 12205
400 Patroon Creek Blvd
Ste 1
Albany, NY 12206
Phone (518) 399-4600
43 New Scotland Ave
Ste 7
Albany, NY 12208
Phone (518) 262-6696
855 Route 146
Clifton Park, NY 12065
Phone (518) 438-2776
449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800
69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173
156 Quaker Rd
Queensbury, NY 12804
Phone (518) 793-9063
896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
2 New Hampshire Ave
Ste 200
Troy, NY 12180
Phone (518) 274-1947
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Albany, NY
- NPI 1609863448
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
-
- Non-Pharmacy Dispensing Site
- Albany, NY
- NPI 1326466244
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1659904084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 ROUTE 146 STE 101",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120653239",
"telephone_number": "518-373-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065013",
"telephone_number": "518-489-0044"
}
],
"practiceLocations": [
{
"address_1": "2 Palisades Dr",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122051438",
"country_code": "US",
"telephone_number": "518-458-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 New Hampshire Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121801762",
"country_code": "US",
"telephone_number": "518-458-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "156 Quaker Rd",
"address_purpose": "LOCATION",
"city": "Queensbury",
"state": "NY",
"postal_code": "128041718",
"country_code": "US",
"telephone_number": "518-458-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 Route 146",
"address_purpose": "LOCATION",
"city": "Clifton Park",
"state": "NY",
"postal_code": "120653885",
"country_code": "US",
"telephone_number": "518-458-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEAD",
"first_name": "STEPHANIE",
"middle_name": "JEAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "612322",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "309596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05959645",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.