Individual provider Active NPI

Emmilee Jo-Anne Swank, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Utica, NY
National Provider Identifier
1851105944
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406756 Issued in NY
Practice address
2307 Genesee St
Utica, NY 13501-6107
Phone
(315) 223-8889
NPI assigned
Feb 6, 2025
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406756 NY Primary

Addresses

Primary practice location

2307 Genesee St
Utica, NY 13501-6107

Mailing address

2307 Genesee St
Utica, NY 13501-6107

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
I20250621000174 NY Practitioner - Nurse Practitioner 9234641796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penfield Psychiatry PCGroup PAC ID 2365693264, 24 clinicians

Practice addresses (Care Compare)

2060 Fairport Nine Mile Point Rd
Suite 400
Penfield, NY 14526-1749
Phone (585) 388-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Hartford Psychological Services, PC CurrentSince May 4, 2025 Accepting new patients
Penfield Psychiatry PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

2060 Fairport Nine Mile Point Rd
Ste 400
Penfield, NY 14526
Phone (585) 388-6000

481 Penbrooke Dr
Ste 6
Penfield, NY 14526
Phone (585) 388-1110

2307 Genesee St
Utica, NY 13501
Phone (315) 223-8889

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1851105944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016107",
            "telephone_number": "315-223-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANK",
        "first_name": "EMMILEE",
        "middle_name": "JO-ANNE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.