Individual provider Active NPI

Amy Seplin, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1801316500
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342760-1 Issued in NY
Practice address
111 Broadway Ste 404
New York, NY 10006-1901
Phone
(212) 263-9700
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 689627-1 NY
Family Nurse Practitioner 363LF0000X F342760-1 NY Primary

Addresses

Primary practice location

111 Broadway Ste 404
New York, NY 10006-1901

Mailing address

320 W 86TH St Apt 11B
New York, NY 10024-3139

Other practice location 1

1894 Walton Ave
Bronx, NY 10453-6018
Phone (718) 583-3060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aseplin477055@nyumc.direct-ci.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
I20180621001899 NY Practitioner - Nurse Practitioner 9436404068 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
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Rusk Rehabilitation Inpatient rehabilitation facility, New York, NY, CCN 33T214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
689627-1NYMDRegistered Nurse
F342760-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Solutions CurrentSince Jul 6, 2020 Accepting new patients
New York University CurrentSince Nov 8, 2021 Accepting new patients
New York University CurrentSince Nov 8, 2021 Accepting new patients

Locations

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

40 Worth St
Fl 4
New York, NY 10013
Phone (646) 962-2764

Interoperability endpoints

  • Direct secure messaging: aseplin477055@nyumc.direct-ci.com

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 9

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1801316500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W 86TH ST APT 11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY STE 404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061901",
            "telephone_number": "212-263-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1894 Walton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104536018",
            "country_code": "US",
            "telephone_number": "718-583-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPLIN",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "689627-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342760-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aseplin477055@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "111 Broadway Ste 404",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100061901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.