Individual provider Active NPI

Haley Rose Szczepanik, FNP

  • Family Nurse Practitioner
  • Gloversville, NY
National Provider Identifier
1710330576
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340834 Issued in NY
Practice address
99 E State St
Gloversville, NY 12078-1203
Phone
(518) 725-8621
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 340834 NY Primary

Addresses

Primary practice location

99 E State St
Gloversville, NY 12078-1203

Mailing address

99 East State Street
PO Box 1250
Gloversville, NY 12078-1203
Phone (518) 775-4205

Other names 1

  • Haley Rose Wilcox Former name

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
I20170421001156 NY Practitioner - Nurse Practitioner 9830475110 Reassigns benefits to 1 organization

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
Nathan Littauer Hospital AssociationGroup PAC ID 4183618101, 94 clinicians

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Littauer Hospital & Nursing Home CurrentSince Mar 15, 2017 Accepting new patients
Nathan Littauer Hospital Association Current Accepting new patients
Nathan Littauer Hospital Association CurrentSince Mar 15, 2017 Accepting new patients
Cartwheel Health Services PC Past Accepting new patients

Locations

375 Golf Course Rd
Amsterdam, NY 12010
Phone (518) 212-6070

46 E Main St
Fonda, NY 12068
Phone (518) 773-5308

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

23 S Perry St
Johnstown, NY 12095
Phone (518) 736-1500

2862 State Route 8
Speculator, NY 12164
Phone (518) 548-8155

Interoperability endpoints

  • Direct secure messaging: hwilcox.nlh@hixny.net

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 5

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1710330576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EAST STATE STREET",
            "address_2": "PO BOX 1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-775-4205",
            "fax_number": "518-775-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-725-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZEPANIK",
        "first_name": "HALEY",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "WILCOX",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.