Individual provider Active NPI

Maria Rita A Macapinlac, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Elmira, NY
National Provider Identifier
1861915290
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402188 Issued in NY
Practice address
100 N Main St Ste L20
Elmira, NY 14901-2924
Phone
(973) 641-0328
Fax
(607) 645-5150
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X F402188-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402188 NY Primary

Addresses

Primary practice location

100 N Main St Ste L20
Elmira, NY 14901-2924

Mailing address

100 N Main St Ste L20
Elmira, NY 14901-2924
Phone (973) 641-0328

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
I20200326000426 NY Practitioner - Nurse Practitioner 5092144097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Services of Chemung County IncGroup PAC ID 2365332236, 13 clinicians
County of SteubenGroup PAC ID 3375522642, 17 clinicians

Practice addresses (Care Compare)

1019 E Water St
Elmira, NY 14901-3332
Phone (607) 733-5696

115 Liberty St
Bath, NY 14810-1508
Phone 60766422554066

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F402188-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Steuben CurrentSince Mar 1, 2023 Accepting new patients
Family Services of Chemung County, Inc. Psychiatry CurrentSince Oct 26, 2022 Accepting new patients
County of Steuben Current Accepting new patients
County of Steuben CurrentSince Mar 1, 2023 Accepting new patients
Pons Physician Services, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Western New York Med-Psych PLLC Psychiatry PastSince Jan 1, 2022 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

3 E Pulteney Sq
Bath, NY 14810
Phone (607) 664-2255

115 Liberty St
Bath, NY 14810
Phone (607) 664-2156

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

Interoperability endpoints

  • Direct secure messaging: mmacapinlac129122@direct-guthrie.org

Organizations & group practices 6

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 2

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1861915290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST STE L20",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012924",
            "telephone_number": "973-641-0328",
            "fax_number": "607-645-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST STE L20",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012924",
            "telephone_number": "973-641-0328",
            "fax_number": "607-645-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAPINLAC",
        "first_name": "MARIA RITA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "F402188-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.