Active NPI
Raquel Marie Canale, NP
- Acute Care Nurse Practitioner
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F431264
- Practice address
- 400 E Main St
Mount Kisco, NY 10549-3477 - Phone
- (914) 666-1200
- NPI assigned
- Feb 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 635300 | NY | |
| Acute Care Nurse Practitioner | 363LA2100X | F431264 | NY | Primary |
Addresses
Primary practice location
400 E Main St
Mount Kisco, NY 10549-3477
Mailing address
3245 Lucerne St
Bronx, NY 10465-1216
Phone (646) 265-4859
Other practice location 1
3245 Lucerne St
Bronx, NY 10465-1216
Phone (646) 265-4859
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rcanale@northwell.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635300 | NY | MD | Registered Nurse |
| F431264 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
244 Westchester Ave
Ste 101
White Plains, NY 10604
Phone (914) 559-5060
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rcanale61170@northwell.direct-ci.com
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1861931222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 LUCERNE ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104651216",
"telephone_number": "646-265-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493477",
"telephone_number": "914-666-1200"
}
],
"practiceLocations": [
{
"address_1": "3245 Lucerne St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104651216",
"country_code": "US",
"telephone_number": "646-265-4859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANALE",
"first_name": "RAQUEL",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-18",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "635300",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F431264",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rcanale@northwell.edu",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "400 E Main St",
"city": "Mount Kisco",
"state": "NY",
"country_code": "US",
"postal_code": "105493477",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.