Individual provider Active NPI

Candy Carol Atkinson

  • Family Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1699495408
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350650 Issued in NY
Practice address
Plattsburgh Medical Care
675 State Rte 3 #1
Plattsburgh, NY 12901-1290
Phone
(518) 566-0672
Fax
(518) 324-2210
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 350650 NY
Family Nurse Practitioner 363LF0000X F350650 NY Primary

Addresses

Primary practice location

Plattsburgh Medical Care
675 State Rte 3 #1
Plattsburgh, NY 12901-1290

Mailing address

5692 State Route 374
Chateaugay, NY 12920-4702
Phone (518) 521-0873

Other practice location 1

969 State Route 11
Moira, NY 12957-2303
Phone (518) 481-8480

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Laptop Health Information Exchange (HIE)

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
I20230126001999 NY Practitioner - Nurse Practitioner 2860863073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alice Hyde Medical CenterGroup PAC ID 4082525837, 88 clinicians

Practice addresses (Care Compare)

969 State RT
Suite 11
Moira, NY 12957
Phone (518) 529-7847

Hospital & facility affiliations

  • The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • SLHS Massena, Inc Hospital, Massena, NY, CCN 331322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350650NYMDNurse Practitioner
F350650NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
Plattsburgh Medical Care, PLLC Family Medicine CurrentSince Nov 3, 2022 Accepting new patients
Alice Hyde Medical Center Family Medicine CurrentSince May 23, 2025 Accepting new patients
Alice Hyde Medical Center PastSince May 23, 2025 Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

675 State Route 3
#1
Plattsburgh, NY 12901
Phone (518) 566-0672

675 State Route 3
Plattsburgh, NY 12901
Phone (518) 566-0672

Organizations & group practices 5

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 3

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1699495408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5692 STATE ROUTE 374",
            "city": "CHATEAUGAY",
            "state": "NY",
            "postal_code": "129204702",
            "telephone_number": "518-521-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLATTSBURGH MEDICAL CARE",
            "address_2": "675 STATE RTE 3 #1",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011290",
            "telephone_number": "518-566-0672",
            "fax_number": "518-324-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 State Route 11",
            "address_purpose": "LOCATION",
            "city": "Moira",
            "state": "NY",
            "postal_code": "129572303",
            "country_code": "US",
            "telephone_number": "518-481-8480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "CANDY",
        "middle_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350650",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Plattsburgh Medical Care",
            "address_2": "675 State Rte 3 #1",
            "city": "Plattsburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129011290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.