Individual provider Active NPI

Stephanie Jean Mead, RN

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1659904084
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
309596 Issued in NY
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

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05959645MedicaidNY

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
I20200325000666 NY Practitioner - Nurse Practitioner 9830527860 Reassigns benefits to 2 organizations

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
New York Oncology Hematology PCGroup PAC ID 3072406222, 82 clinicians

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 Hospital, Albany, NY, CCN 330013
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
612322NYMDRegistered Nurse
309596NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Mar 30, 2020 Accepting new patients
New York Oncology Hematology PC CurrentSince Apr 11, 2022 Accepting new patients
New York Oncology Hematology, P.C. CurrentSince Apr 11, 2022 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.