NPIMap

Individual provider Active NPI

Michelle Catherine Dixon, NP-C

  • Primary Care Nurse Practitioner
  • Schenectady, NY
National Provider Identifier
1831754787
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F309252-1 Issued in NY
Practice address
1201 Nott St Ste 203
Schenectady, NY 12308-2589
Phone
(518) 374-4207
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F309252-1 NY Primary

Addresses

Primary practice location

1201 Nott St Ste 203
Schenectady, NY 12308-2589

Mailing address

2776 Maida LN
Schenectady, NY 12306-1634
Phone (518) 528-2076

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dixonm@sage.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828000212 NY Practitioner - Nurse Practitioner 1355679432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Nephrology and Dialysis Access Surgery, P.C.Group PAC ID 5991793598, 18 clinicians

Practice addresses (Care Compare)

500 State St
Suite 2B
Schenectady, NY 12305-2426
Phone (518) 374-4207

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F309252-1NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Nephrology and Dialysis Access Surgery, P.C. CurrentSince Aug 1, 2019 Accepting new patients

Locations

62 Hackett Blvd
Albany, NY 12209
Phone (518) 434-2244

1785 Route 9
Ste 102
Halfmoon, NY 12065
Phone (518) 579-0017

1 West Ave
Ste 200
Saratoga Springs, NY 12866
Phone (518) 581-0112

500 State St
Ste 2B
Schenectady, NY 12305
Phone (518) 374-4207

258 Hoosick St
Ste 101
Troy, NY 12180
Phone (518) 274-5660

Interoperability endpoints

  • Direct secure messaging: mdixon@nenephrology.medentdirect.com
  • Direct secure messaging: mdixon788621@direct.trinity-health.org

Organizations & group practices 1

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 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1831754787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 MAIDA LN",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123061634",
            "telephone_number": "518-528-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST STE 203",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-374-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MICHELLE",
        "middle_name": "CATHERINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F309252-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dixonm@sage.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1201 Nott St Ste 203",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123082589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.