Racquel Monroe, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

340964 Issued in NY

Practice address

434 S Kingsboro Ave Ste 102
Johnstown, NY 12095-3822

Phone

(518) 773-4242

Fax

(518) 773-4246

NPI assigned

Aug 28, 2016

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Racquel Ryan Former name

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fulton Montgomery Medical PCGroup PAC ID 1557899648, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
• St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rryan@mohawkvalleyortho.medentdirect.com

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.

• Fulton Montgomery Medical PC

  dba Mohawk Valley Orthopedics Associates

  • Orthopaedic Surgery Physician
  • Amsterdam, NY
  • NPI 1063235091
  Medicare reassignment Care Compare group NPD
• Mohawk Valley Orthopedics, P.C.

  • Specialist
  • Amsterdam, NY
  • NPI 1578577417
  Medicare reassignment

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

• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Pharmacy
  • Gloversville, NY
  • NPI 1285706655

  Hospital

  Care Compare affiliation
• Nathan Littauer Hospital Association

  dba Nathan Littauer Hospital & Nursing Home

  • Rural Acute Care Hospital
  • Gloversville, NY
  • NPI 1336145168
  Care Compare affiliation
• Nathan Littauer Hospital Association

  dba Nathan Littauer Primary/Specialty Care Centers

  • Clinic/Center
  • Gloversville, NY
  • NPI 1770671448

  Hospital

  Care Compare affiliation
• St. Mary's Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  Care Compare affiliation

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1861948150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE 205",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-2663",
            "fax_number": "518-842-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 S KINGSBORO AVE STE 102",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953822",
            "telephone_number": "518-773-4242",
            "fax_number": "518-773-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 State Highway 30 Ste 205",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120107532",
            "country_code": "US",
            "telephone_number": "518-842-2663 x229",
            "fax_number": "518-842-4861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "RACQUEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340964",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02049750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACQUEL",
            "last_name": "RYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trisha M Memrick, RN
• Rachael Merrihew, LMSW
• Kara Michelson, LMSW
• Karen H. Miller II, D.C.
• Hadi Minhas, M.D.
• Michele L Morris, RN
• Victoria Morrison, CCC-SLP
• Susan Renee Murray, LCSW
• Karie Nasser, MS, BS, AA
• Chanel Ninan, DPT

• Family Nurse Practitioner in Johnstown, NY
• Providers in Johnstown, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.

Verify at the official NPI Registry.