Judy Ann Pendell-McKee, FNPC
Individual provider Active NPI Family Nurse Practitioner · Greene, NY
NPI 1760469290 · NPPES record last updated Jan 13, 2014
Key facts
- NPI
- 1760469290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 330475 (NY)
- Practice address
- 15 Birdsall St
Greene, NY 13778-1057 - Phone
- (607) 656-4115
- Fax
- (607) 656-9553
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 86.74
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.09
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060419000138 | NY | Practitioner - Nurse Practitioner | 0143115352 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330475 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Current |
Accepting new patients | |
| Family Health Network of Central New York, Inc. | Past | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Past | Accepting new patients | |
| Otselic Valley Family Health NP PC | Family | Past | Accepting new patients |
Locations
33 Lewis Rd
Ste 2
Binghamton, NY 13905
15 Birdsall St
Greene, NY 13778
Phone (607) 656-4115
346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 330475 | NY | Yes |
Addresses
Primary practice location
15 Birdsall St
Greene, NY 13778-1057
Mailing address
346 Grand Ave
Johnson City, NY 13790-2580
Phone (607) 656-4115
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01903199 | Medicaid | NY |
Other providers in Greene, NY
- Cary C Najarian
- Gary G Parker Jr.
- Mary Parker
- Alyssa Passela
- Jennifer Pecka
- Monica L Puglisi
- Sage-McLean Kindness Care LCSW, PLLC
- Samantha Tefft LCSW
- Sandra Scott
- Dana Staley
All providers in Greene, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.