NPIMap

Individual provider Active NPI

Brandy Lee Wadsworth

  • Psychiatric/Mental Health Nurse Practitioner
  • Granville, NY
National Provider Identifier
1881186930
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402434 Issued in NY
Practice address
79 North St
Granville, NY 12832
Phone
(518) 642-0612
Fax
(518) 642-0693
NPI assigned
Jun 5, 2018
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 597823 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402434 NY Primary

Addresses

Primary practice location

79 North St
Granville, NY 12832

Mailing address

100 Park St
Glens Falls, NY 12801-4447
Phone (518) 926-6992

Other practice location 1

65 Poultney St
Whitehall, NY 12887-1543
Phone (518) 499-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101002198 NY Practitioner - Nurse Practitioner 3173876570 Reassigns benefits to 5 organizations

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
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians
St. Mary's HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

1 Broad St PLZ
Glens Falls, NY 12801-4389
Phone (518) 744-7302

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone (518) 770-7577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
597823NYMDRegistered Nurse
402434NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince May 22, 2023 Accepting new patients
Saratoga Hospital CurrentSince May 22, 2023 Accepting new patients
Wagner Medical PC Psychiatric/Mental Health CurrentSince Aug 13, 2025 Accepting new patients
Brandy Wadsworth Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health CurrentSince May 12, 2026 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Nov 9, 2020 Accepting new patients
St Marys Healthcare CurrentSince Jul 1, 2025 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Nov 9, 2020 Accepting new patients
St. Mary's Healthcare CurrentSince Jul 1, 2025 Accepting new patients
New Hope Psychology and Nurse Practitioner-Psychiatry Services, PLLC Psychiatric/Mental Health CurrentSince Sep 28, 2022 Accepting new patients
Carelon Behavioral Care, Inc. PastSince Mar 13, 2022 Accepting new patients
Osika and Scarano Psychological Services PC Past Accepting new patients
Aspire Health Medical Partners of Middle Tennessee PC PastSince Jun 26, 2020 Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

427 Guy Park Ave
Fl 3
Amsterdam, NY 12010
Phone (518) 770-7518

1 Broad Street Plz
Glens Falls, NY 12801
Phone (518) 744-7302

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

5 Pine St
Glens Falls, NY 12801
Phone (518) 745-0079

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

100 Church St
Fl 8
New York, NY 10007
Phone (646) 357-3609

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 563-3315

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

430 Franklin St
Schenectady, NY 12305
Phone (518) 745-0079

Interoperability endpoints

  • Direct secure messaging: bwadsworth102169@albanymed.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/24009/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1881186930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014447",
            "telephone_number": "518-926-6992",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 NORTH ST",
            "city": "GRANVILLE",
            "state": "NY",
            "postal_code": "12832",
            "telephone_number": "518-642-0612",
            "fax_number": "518-642-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Poultney St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "NY",
            "postal_code": "128871543",
            "country_code": "US",
            "telephone_number": "518-499-2444",
            "fax_number": "518-499-0317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "BRANDY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "597823",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, NY

Sources for this page

Verify at the official NPI Registry.