Individual provider Active NPI

Amy Garrison, CRNP

  • Adult Health Nurse Practitioner
  • Lake Placid, NY
National Provider Identifier
1902155880
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP011334 Issued in PA
Practice address
203 Old Military Rd
Lake Placid, NY 12946-1738
Phone
(518) 523-1717
Fax
(518) 523-8340
NPI assigned
Sep 6, 2012
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP011334 PA Primary

Addresses

Primary practice location

203 Old Military Rd
Lake Placid, NY 12946-1738

Mailing address

PO Box 1380
Saranac Lake, NY 12983-7380
Phone (518) 897-4725

Other practice location 1

111 E Catherine St
Suite 230
Milford, PA 18337-1347
Phone (570) 296-5792

Other identifiers 2

IdentifierTypeStateIssuer
1588635999OtherPADR. DAVID GARRISON NPI#
1386839488OtherPADMG INTERNAL MEDICINE NPI#

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190322001008 NY Practitioner - Nurse Practitioner 9032363999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

Practice addresses (Care Compare)

203 Old Military Rd
Lake Placid, NY 12946-1738
Phone (518) 523-1717

7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011334PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Medical Center CurrentSince Mar 1, 2019 Accepting new patients
Adirondack Medical Center CurrentSince Mar 1, 2019 Accepting new patients
John Fischer, OD PC Past Accepting new patients
Adirondack Medical Center Past Accepting new patients

Locations

2841 Nys Route 73
Keene, NY 12942
Phone (518) 576-9326

203 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-1327

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

285 County Route 47
Saranac Lake, NY 12983
Phone (518) 897-2800

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Interoperability endpoints

  • Direct secure messaging: amy.garrison@ah.eclinicaldirectplus.com

Organizations & group practices 4

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1902155880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129837380",
            "telephone_number": "518-897-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OLD MILITARY RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461738",
            "telephone_number": "518-523-1717",
            "fax_number": "518-523-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Catherine St",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183371347",
            "country_code": "US",
            "telephone_number": "570-296-5792",
            "fax_number": "570-296-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP011334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DAVID GARRISON NPI#",
            "identifier": "1588635999",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMG INTERNAL MEDICINE NPI#",
            "identifier": "1386839488",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, NY

Sources for this page

Verify at the official NPI Registry.