Individual provider Active NPI

Loren M Allen, FNP

  • Family Nurse Practitioner
  • Mineville, NY
National Provider Identifier
1770068371
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343733 Issued in NY
Practice address
33 Tom Phelps LN
Mineville, NY 12956-0480
Phone
(518) 942-7123
Fax
(518) 942-7041
NPI assigned
Sep 28, 2018
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 343733 NY Primary

Addresses

Primary practice location

33 Tom Phelps LN
Mineville, NY 12956-0480

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
05425796MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address loren.allen.1@1823.direct.athenahealth.com

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
I20181207001169 NY Practitioner - Nurse Practitioner 1658615281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

101 Adirondack Dr
Suite 2
Ticonderoga, NY 12883-9334
Phone (518) 585-6708

24 Fairfield Ave
Schroon Lake, NY 12870-0292
Phone (518) 532-7120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network CurrentSince Dec 3, 2018 Accepting new patients
Hudson Headwaters Health Network CurrentSince Dec 3, 2018 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients
1019 Wicker Street Operating Company, LLC Past Accepting new patients

Locations

9 Carey Rd
Queensbury, NY 12804

101 Adirondack Dr
Ste 2
Ticonderoga, NY 12883
Phone (518) 585-6708

102 Race Track Rd
#1
Ticonderoga, NY 12883
Phone (518) 585-6708

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 5

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1770068371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 TOM PHELPS LN",
            "city": "MINEVILLE",
            "state": "NY",
            "postal_code": "129560480",
            "telephone_number": "518-942-7123",
            "fax_number": "518-942-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LOREN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05425796",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "loren.allen.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "33 Tom Phelps Ln",
            "city": "Mineville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129560480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineville, NY

Sources for this page

Verify at the official NPI Registry.