Individual provider Active NPI

Michal Hovak, FNP

  • Family Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1730270992
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334882 Issued in NY
Practice address
1 Oxford Xing Ste 3
New Hartford, NY 13413-3200
Phone
(315) 662-0162
Fax
(315) 662-0107
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 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 334882 NY Primary

Addresses

Primary practice location

1 Oxford Xing Ste 3
New Hartford, NY 13413-3200

Mailing address

1 Oxford Xing Ste 3
New Hartford, NY 13413-3200
Phone (315) 662-0162

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
I20070330000045 NY Practitioner - Nurse Practitioner 8426152562 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334882NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Pediatric & Family Nurse Practitioners PLLC Family CurrentSince Apr 1, 2022 Accepting new patients

Locations

1 Oxford Xing
Ste 3
New Hartford, NY 13413
Phone (315) 497-7080

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1730270992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OXFORD XING STE 3",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133200",
            "telephone_number": "315-662-0162",
            "fax_number": "315-662-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OXFORD XING STE 3",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133200",
            "telephone_number": "315-662-0162",
            "fax_number": "315-662-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVAK",
        "first_name": "MICHAL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-04-01",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.