NPIMap

Individual provider Active NPI

Lauren Marie Hendershot, FNP

  • Family Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1700236379
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340685 Issued in NY
Practice address
4 Congress Plaza
Saratoga Springs, NY 12866
Phone
(518) 450-4594
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340685 NY Primary

Addresses

Primary practice location

4 Congress Plaza
Saratoga Springs, NY 12866

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

3 Irongate Ctr
Glens Falls, NY 12801-3471
Phone (518) 793-4409

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802003056 NY Practitioner - Nurse Practitioner 6507150372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 Congress PL
Saratoga Springs, NY 12866-4180
Phone (518) 450-4594

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340685NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Irongate Family Practice Associates PLLC CurrentSince Jul 1, 2016 Accepting new patients
Glens Falls Hospital Inc. CurrentSince Aug 1, 2022 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Dec 19, 2022 Accepting new patients
Glens Falls Hospital Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

35 Gilbert St
Cambridge, NY 12816
Phone (518) 677-3163

3 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 793-4409

79 North St
Granville, NY 12832
Phone (518) 642-0612

4 Congress Pl
Saratoga Springs, NY 12866
Phone (518) 450-4594

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: lhendershot2295698@direct.trinity-health.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 and National Provider Directory roles.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1700236379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CONGRESS PLAZA",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-450-4594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Irongate Ctr",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128013471",
            "country_code": "US",
            "telephone_number": "518-793-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSHOT",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4 Congress Plaza",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.