NPIMap

Individual provider Active NPI

Sandra M Hermans, NP

  • Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1710909551
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
334664 Issued in NY
Practice address
855 Route 146
Clifton Park, NY 12065
Phone
(518) 489-7494
Fax
(518) 489-7641
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F334664-1 NY
Nurse Practitioner 363L00000X 334664 NY Primary

Addresses

Primary practice location

855 Route 146
Clifton Park, NY 12065

Mailing address

19 West Ave
Suite 103
Saratoga Springs, NY 12866-6049
Phone (518) 583-0111

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
I20070131000333 NY Practitioner - Nurse Practitioner 8628079803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8343

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F334664-1NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Sep 1, 2014 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Sep 1, 2014 Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

6 Medical Park Dr
Ste 206
Malta, NY 12020
Phone (518) 289-2718

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

19 West Ave
Ste 103
Saratoga Springs, NY 12866
Phone (518) 583-0111

Interoperability endpoints

  • Direct secure messaging: shermans99289@albanymed.direct-ci.com

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 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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1710909551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WEST AVE",
            "address_2": "SUITE 103",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666049",
            "telephone_number": "518-583-0111",
            "fax_number": "518-583-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-489-7494",
            "fax_number": "518-489-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANS",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "F334664-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "334664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.