Individual provider Active NPI

Louis J. Spagnola, FNP-C

  • Family Nurse Practitioner
  • Lagrangeville, NY
National Provider Identifier
1669579629
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337825-1 Issued in NY
Practice address
1145 Route 55
Suite 4
Lagrangeville, NY 12540-5042
Phone
(845) 452-5200
Fax
(845) 483-0824
NPI assigned
Sep 20, 2006
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005054-1 NY
Family Nurse Practitioner 363LF0000X 005270 CT
Family Nurse Practitioner 363LF0000X F337825-1 NY Primary

Addresses

Primary practice location

1145 Route 55
Suite 4
Lagrangeville, NY 12540-5042

Mailing address

1145 Route 55
Suite 4
Lagrangeville, NY 12540-5042
Phone (845) 452-5200

Other identifiers 1

IdentifierTypeStateIssuer
004141313MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 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
I20040127000404 NY Practitioner - Chiropractic 0042112211 Practice locations: Lagrangeville, NY
I20140827001520 NY Practitioner - Nurse Practitioner 0042112211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1145 Route 55
Suite 4
Lagrangeville, NY 12540-5047
Phone (845) 452-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
005270CTMDPsychologist
X005054-1NYMDChiropractor
F337825-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louis Spagnola Family Health NP PC Family CurrentSince Mar 2, 2014 Accepting new patients
Hudson Valley Spine Care Chiropractor PastSince Jan 1, 1992 Accepting new patients
Louis J. Spagnola DC PC PastSince Jan 1, 1992 Accepting new patients

Locations

1145 State Route 55
Ste 4
Lagrangeville, NY 12540
Phone (845) 452-5200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1669579629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 ROUTE 55",
            "address_2": "SUITE 4",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405042",
            "telephone_number": "845-452-5200",
            "fax_number": "845-483-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 ROUTE 55",
            "address_2": "SUITE 4",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405042",
            "telephone_number": "845-452-5200",
            "fax_number": "845-483-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLA",
        "first_name": "LOUIS",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005054-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005270",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337825-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004141313",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

Verify at the official NPI Registry.