Individual provider Active NPI

Linda Kowalski, FNP

  • Family Nurse Practitioner
  • Amsterdam, NY
National Provider Identifier
1861637076
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340582 Issued in NY
Practice address
4879 State Highway 30 Ste 3
Amsterdam, NY 12010-7539
Phone
(518) 881-5810
Fax
(949) 577-4178
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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 642085 NY
Family Nurse Practitioner 363LF0000X F340582 NY Primary

Addresses

Primary practice location

4879 State Highway 30 Ste 3
Amsterdam, NY 12010-7539

Mailing address

4879 State Highway 30 Ste 3
Amsterdam, NY 12010-7539
Phone (518) 881-5810

Other identifiers 6

IdentifierTypeStateIssuer
04450271MedicaidNY
444US1OtherNYEMPIRE BLUE CROSS BLUE SHIELD
PRC200334160OtherNYCDPHP
5059330OtherNYMVP
1224650OtherNYWELLCARE
7365992OtherNYAETNA

Other names 1

  • Linda Gossard Professional name

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
I20180302001431 NY Order and Referring Only - Nurse Practitioner 2860642626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
642085NYMDRegistered Nurse
F340582NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Kowalski Nurse Practitioner in Family Health PLLC CurrentSince Dec 12, 2021 Accepting new patients

Locations

347 W Main St
Amsterdam, NY 12010
Phone (518) 843-6860

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.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1861637076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 STATE HIGHWAY 30 STE 3",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107539",
            "telephone_number": "518-881-5810",
            "fax_number": "949-577-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 STATE HIGHWAY 30 STE 3",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107539",
            "telephone_number": "518-881-5810",
            "fax_number": "949-577-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "LINDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "642085",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04450271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "444US1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "PRC200334160",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "5059330",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1224650",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7365992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "GOSSARD",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.