Jane F. Gotthardt, N. P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F331819-01 Issued in NY

Practice address

2 Titus PL
Walton, NY 13856-1455

Phone

(607) 865-2100

NPI assigned

Apr 11, 2007

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

• Miss Jane F Overman 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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware Valley Hospital Inc.Group PAC ID 2860388337, shared by 3 NPIs, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delaware Valley Hospital, Inc Hospital, Walton, NY, CCN 331312

Merit-based Incentive Payment System (MIPS)

Final score

96.41 of 100Reported as group

Quality

90.71

Promoting interoperability

99

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.14 of 100Reported as group

Quality

86.74

Promoting interoperability

99

Improvement activities

40

Cost

70.09

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Delaware Valley Hospital, Inc

  • Critical Access Hospital Clinic/Center
  • Walton, NY
  • NPI 1144312646
  Medicare reassignment NPD
• Delaware Valley Hospital, Inc

  • Critical Access Hospital
  • Walton, NY
  • NPI 1417940719
  Medicare reassignment NPD
• Margaretville Nursing Home Inc

  dba Mountainside Residential Care Center

  • Skilled Nursing Facility
  • Margaretville, NY
  • NPI 1194993238
  Medicare reassignment NPD
• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1740687458
  NPD
• Delaware Valley Hospital, Inc

  • Critical Access Hospital Clinic/Center
  • Walton, NY
  • NPI 1801132923
  NPD (past)

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

• Delaware Valley Hospital, Inc

  • Critical Access Hospital
  • Walton, NY
  • NPI 1417940719
  Care Compare affiliation

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1871716282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KERRYVILLE RD",
            "city": "HANCOCK",
            "state": "NY",
            "postal_code": "137833900",
            "telephone_number": "607-422-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561455",
            "telephone_number": "607-865-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTHARDT",
        "first_name": "JANE",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "N. P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331819-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "365737-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "365737-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "OVERMAN",
            "middle_name": "F",
            "prefix": "MISS",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Holland Nicholson Forbes, LCSW-R
• Michael C Free, RPA-C
• Michael J Freeman, DO
• Nicole Gerace, LCSW
• Erin Marie Gotthardt, LMSW
• Kailyn Griffin, LPN
• Amanda M Groff, TSSLD
• Kim Evelyn Halaquist, FNP
• Cooper James Hall
• Joel Howard Hammer, PHD

• Family Nurse Practitioner in Walton, NY
• Providers in Walton, 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 Jul 19, 2023; 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.