Individual provider Active NPI

Ann M Fons, FNP

  • Family Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1700077393
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335331 Issued in NY
Practice address
22571 Summit Dr
Watertown, NY 13601-7233
Phone
(315) 782-0136
Fax
(315) 782-7212
NPI assigned
Aug 7, 2007
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335331 NY Primary
Family Nurse Practitioner 363LF0000X F3353311 NY

Addresses

Primary practice location

22571 Summit Dr
Watertown, NY 13601-7233

Mailing address

22571 Summit Dr
Watertown, NY 13601-7233
Phone (315) 782-0136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 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
I20081226000179 NY Practitioner - Nurse Practitioner 0244392355 Reassigns benefits to 1 organization
I20241004000516 WI Practitioner - Nurse Practitioner 0244392355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians
LMG, IncGroup PAC ID 6305851676, 5 clinicians

Practice addresses (Care Compare)

204 S Pine St
Burlington, WI 53105-1914
Phone (419) 221-6717

3620 57TH Ave
Kenosha, WI 53144-4925
Phone (262) 925-5250

7001 S Howell Ave
Suite 800
Oak Creek, WI 53154-1408
Phone (414) 856-9990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335331NYMDFamily Nurse Practitioner
F3353311NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC CurrentSince Sep 20, 2019 Accepting new patients
North Medical PC Current Accepting new patients
Affiliated Health of Wisconsin LTD. Past Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

1000 E Genesee St
Ste 300
Syracuse, NY 13210
Phone (315) 471-1044

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

Interoperability endpoints

  • Direct secure messaging: annf@hiemail.healtheconnections.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1700077393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22571 SUMMIT DR",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136017233",
            "telephone_number": "315-782-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22571 SUMMIT DR",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136017233",
            "telephone_number": "315-782-0136",
            "fax_number": "315-782-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONS",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335331",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3353311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.