Individual provider Active NPI

Helena Marie Spooner, FNP

  • Family Medicine Physician
  • Cairo, NY
National Provider Identifier
1821869348
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
353303 Issued in NY
Practice address
130 Main St
Cairo, NY 12413-3112
Phone
(518) 622-3200
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 353303 NY Primary

Addresses

Primary practice location

130 Main St
Cairo, NY 12413-3112

Mailing address

626 Route 145
Cairo, NY 12413-2414
Phone (518) 755-1715

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
I20240318002758 NY Practitioner - Nurse Practitioner 1456798115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial Regional Medical PLLCGroup PAC ID 2567865447, 7 clinicians

Practice addresses (Care Compare)

130 Main St
Cairo, NY 12413-3112
Phone (518) 622-3200

Hospital & facility affiliations

  • Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
353303NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Regional Medical PLLC CurrentSince Mar 1, 2024 Accepting new patients
Columbia Memorial Health Past Accepting new patients

Locations

130 Main St
Cairo, NY 12413
Phone (518) 589-6843

24 Lafayette Ave
Coxsackie, NY 12051
Phone (518) 731-6171

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

Interoperability endpoints

  • Direct secure messaging: hspooner101361@albanymed.direct-ci.com

Organizations & group practices 2

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 2

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1821869348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 ROUTE 145",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124132414",
            "telephone_number": "518-755-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124133112",
            "telephone_number": "518-622-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "HELENA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "353303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, NY

Sources for this page

Verify at the official NPI Registry.