Individual provider Active NPI

John D Stafford, FNP-C

  • Nurse Practitioner
  • Oneonta, NY
National Provider Identifier
1760512586
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F337953-1 Issued in NY
Practice address
6 Country Club Rd
Oneonta, NY 13820-1005
Phone
(607) 431-2525
Fax
(607) 432-1110
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 RN169872NP GA
Nurse Practitioner 363L00000X F337953-1 NY Primary

Addresses

Primary practice location

6 Country Club Rd
Oneonta, NY 13820-1005

Mailing address

449 Main St
Oneonta, NY 13820-2028
Phone (607) 432-5680

Other identifiers 1

IdentifierTypeStateIssuer
511I500824OtherMEDICARE PTAN

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
I20130924000248 NY Practitioner - Nurse Practitioner 9133282650 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

6 Country Club Rd
Oneonta, NY 13820-1005
Phone (212) 283-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN169872NPGAMDNurse Practitioner
F337953-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Jun 17, 2013 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 17, 2013 Accepting new patients
Schweiger Dermatology PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

2508 Western Ave
Altamont, NY 12009
Phone (518) 690-0177

75 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 201-1100

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

980 E Main St
Cobleskill, NY 12043

980 E Main St
Ste 3
Cobleskill, NY 12043

6 Country Club Rd
Oneonta, NY 13820
Phone (607) 431-2525

449 Main St
Oneonta, NY 13820
Phone (607) 432-5680

130 North St
Walton, NY 13856
Phone (607) 865-6541

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: john.stafford@schweigerderm.emadirect.md

Organizations & group practices 3

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 3

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1760512586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202028",
            "telephone_number": "607-432-5680",
            "fax_number": "607-432-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COUNTRY CLUB RD",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138201005",
            "telephone_number": "607-431-2525",
            "fax_number": "607-432-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN169872NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F337953-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "511I500824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.