Victoria Fitzgerald, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F353526-01 Issued in NY

Practice address

318 S Albany St
Ithaca, NY 14850-5406

Phone

(607) 273-4166

NPI assigned

Jun 6, 2024

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Statline Medical PCGroup PAC ID 7214333525, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Statline Medical PC

  • Internal Medicine Physician
  • Cortlandt Manor, NY
  • NPI 1942872759
  Medicare reassignment Care Compare group NPD
• Omar Osman MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1508564220

  NY

  Medicare reassignment NPD
• Parkway Preventive Medical Care PLLC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1578318143
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Care Compare affiliation

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1679315154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 W LAKE RD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211164",
            "telephone_number": "315-427-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505406",
            "telephone_number": "607-273-4166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Keeler Ave",
            "address_purpose": "LOCATION",
            "city": "Moravia",
            "state": "NY",
            "postal_code": "131183688",
            "country_code": "US",
            "telephone_number": "315-497-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F353526-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane R.G. Fisher, PSY.D.
• Jared Fisher
• Rebecca L Fisher, MS, OTR/L
• Yvonne Pearl Fisher, LMHC
• Jessie M. Fisk, FNP-C
• Paula Fitzsimmons, P.A.
• Joseph William Flanagan, M.D.
• Bridget Flanigan
• Richard Paul Flaville, CASAC
• Erianna Flores, CNM

• Family Nurse Practitioner in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.

Verify at the official NPI Registry.