NPIMap

Individual provider Active NPI

Colette Collins Blackington, FNP C

  • Family Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1881672079
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334041 Issued in NY
Practice address
35 Myrtle Street
Suite 4
Saratoga Springs, NY 12866-1043
Phone
(518) 584-7671
Fax
(518) 584-0076
NPI assigned
Jan 6, 2006
Last updated
May 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334041 NY Primary

Addresses

Primary practice location

35 Myrtle Street
Suite 4
Saratoga Springs, NY 12866-1043

Mailing address

35 Myrtle Street
Suite 4
Saratoga Springs, NY 12866-1043
Phone (518) 584-7671

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
I20041214000422 NY Practitioner - Nurse Practitioner 1951368794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8343

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Healthcare Partners of Saratoga LTD CurrentSince Jun 1, 2018 Accepting new patients
Saratoga Hospital CurrentSince Oct 14, 2017 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Jun 1, 2018 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Jun 1, 2018 Accepting new patients
Saratoga Emergency Physicians, PC Past Accepting new patients
Doc Peacocks Greenfield Country Medicine, PLLC PastSince Nov 13, 2013 Accepting new patients

Locations

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

959 Route 9
Queensbury, NY 12804
Phone (518) 363-8815

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

3040 Route 50
Saratoga Springs, NY 12866
Phone (518) 580-2170

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

Interoperability endpoints

  • Direct secure messaging: cblackington97652@albanymed.direct-ci.com

Organizations & group practices 7

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1881672079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MYRTLE STREET",
            "address_2": "SUITE 4",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661043",
            "telephone_number": "518-584-7671",
            "fax_number": "518-584-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MYRTLE STREET",
            "address_2": "SUITE 4",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661043",
            "telephone_number": "518-584-7671",
            "fax_number": "518-584-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKINGTON",
        "first_name": "COLETTE",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.