Individual provider Active NPI

Bridget Mary Sarazen, CNM, WHNP

  • Women's Health Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1861791287
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421025 Issued in NY
Practice address
25 Degrandpre Way
Plattsburgh, NY 12901-6449
Phone
(518) 563-3263
Fax
(518) 324-3349
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421025 NY Primary

Addresses

Primary practice location

25 Degrandpre Way
Plattsburgh, NY 12901-6449

Mailing address

25 Degrandpre Way
Plattsburgh, NY 12901-6449
Phone (518) 563-3263

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000517 NY Practitioner - Certified Nurse Midwife (CNM) 9436324043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001438NYMDArt Therapist
421025NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Past Accepting new patients

Locations

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

206 Cornelia St
Ste 102
Plattsburgh, NY 12901
Phone (518) 314-3344

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

Interoperability endpoints

  • Direct secure messaging: bsarazen309510@direct.uvmhealth.org

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 1

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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1861791287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DEGRANDPRE WAY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016449",
            "telephone_number": "518-563-3263",
            "fax_number": "518-324-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DEGRANDPRE WAY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016449",
            "telephone_number": "518-563-3263",
            "fax_number": "518-324-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAZEN",
        "first_name": "BRIDGET",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.