Individual provider Active NPI

Amy Marie Yrsha, FNP-C

  • Family Nurse Practitioner
  • Ballston Spa, NY
National Provider Identifier
1861048647
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344881-01 Issued in NY
Practice address
6 Medical Park Dr Ste 208
Ballston Spa, NY 12020-5053
Phone
(518) 899-9090
NPI assigned
Aug 16, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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 F344881-01 NY Primary

Addresses

Primary practice location

6 Medical Park Dr Ste 208
Ballston Spa, NY 12020-5053

Mailing address

6 Medical Park Dr Ste 208
Ballston Spa, NY 12020-5063
Phone (518) 899-9090

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
I20191119000974 NY Practitioner - Nurse Practitioner 5597197293 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
Telehealth
Offers telehealth services
Group practices
Saratoga Family Medicine,PLLCGroup PAC ID 1153370515, 3 clinicians

Practice addresses (Care Compare)

6 Medical Park Dr
Suite 208
Malta, NY 12020-5053
Phone (518) 899-9090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344881-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Family Medicine,PLLC CurrentSince Oct 23, 2019 Accepting new patients
Eugene K. Merecki, MD PC CurrentSince Aug 18, 2019 Accepting new patients

Locations

6 Medical Park Dr
Ste 208
Malta, NY 12020
Phone (518) 899-2632

Interoperability endpoints

  • Direct secure messaging: ayrsha@saratogafamilymedicine.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1861048647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK DR STE 208",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120205063",
            "telephone_number": "518-899-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK DR STE 208",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120205053",
            "telephone_number": "518-899-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YRSHA",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344881-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.