Individual provider Active NPI

Richelle Ashley Mastraccio, FNP

  • Nurse Practitioner
  • Albany, NY
National Provider Identifier
1740952332
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
348527 Issued in NY
Practice address
8 Southwoods Blvd Ste 9
Albany, NY 12211-2554
Phone
(518) 434-1446
Fax
(518) 434-0806
NPI assigned
Oct 1, 2021
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 348527 NY Primary
Registered Nurse 163W00000X 661440 NY

Addresses

Primary practice location

8 Southwoods Blvd Ste 9
Albany, NY 12211-2554

Mailing address

8 Southwoods Blvd Ste 9
Albany, NY 12211-2573
Phone (518) 434-1446

Other practice location 1

400 Patroon Creek Blvd Ste 108
Albany, NY 12206-5014
Phone (518) 445-4325

Other practice location 2

2125 River Rd
Niskayuna, NY 12309-1107
Phone (518) 374-2266

Other practice location 3

7 Emma Ln
Clifton Park, NY 12065-3763
Phone (518) 383-0001

Other names 1

  • Richelle Ashley Cimmino Former name

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: 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
I20211026001701 NY Practitioner - Nurse Practitioner 4688062565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Certified Allergy Consultants, PCGroup PAC ID 2163413808, 9 clinicians

Practice addresses (Care Compare)

8 Southwoods Blvd
Suite 9
Albany, NY 12211-2554
Phone (518) 434-1446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.84 of 100Reported as group
Quality
93.6
Improvement activities
40
Cost
84.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
661440NYMDRegistered Nurse
348527NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Allergy Consultants, PC CurrentSince Dec 1, 2023 Accepting new patients
Certified Allergy Consultants, PC PastSince Dec 1, 2023 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Nurse Practitioner PastSince Nov 17, 2024 Accepting new patients

Locations

8 Southwoods Blvd
Albany, NY 12211
Phone (518) 434-1446

8 Southwoods Blvd
Ste 9
Albany, NY 12211
Phone (518) 429-2643

7 Emma Ln
Clifton Park, NY 12065
Phone (518) 383-0001

92 East Ave
Saratoga Springs, NY 12866
Phone (518) 584-0295

2125 River Rd
Schenectady, NY 12309
Phone (518) 229-3339

2125 River Rd
Ste 201
Schenectady, NY 12309
Phone (518) 831-8530

2231 Burdett Ave
Ste 260
Troy, NY 12180
Phone (518) 272-0035

Interoperability endpoints

  • Direct secure messaging: richellecimmino@certifieda.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1740952332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTHWOODS BLVD STE 9",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112573",
            "telephone_number": "518-434-1446",
            "fax_number": "518-434-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SOUTHWOODS BLVD STE 9",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112554",
            "telephone_number": "518-434-1446",
            "fax_number": "518-434-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Patroon Creek Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122065014",
            "country_code": "US",
            "telephone_number": "518-445-4325",
            "fax_number": "518-475-7124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 River Rd",
            "address_purpose": "LOCATION",
            "city": "Niskayuna",
            "state": "NY",
            "postal_code": "123091107",
            "country_code": "US",
            "telephone_number": "518-374-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Emma Ln",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653763",
            "country_code": "US",
            "telephone_number": "518-383-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTRACCIO",
        "first_name": "RICHELLE",
        "middle_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "348527",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "661440",
            "primary": false
        }
    ],
    "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": "400 Patroon Creek Blvd Ste 108",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122065014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RICHELLE",
            "last_name": "CIMMINO",
            "middle_name": "ASHLEY",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.