Individual provider Active NPI

Megan Putnam, NP-BC

  • Family Nurse Practitioner
  • Fort Plain, NY
National Provider Identifier
1912669151
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348400 Issued in NY
Practice address
465 State Highway 163
Fort Plain, NY 13339-4035
Phone
(518) 332-4702
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 348400 NY Primary

Addresses

Primary practice location

465 State Highway 163
Fort Plain, NY 13339-4035

Mailing address

465 State Highway 163
Fort Plain, NY 13339-4035
Phone (518) 332-4702

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
I20211026000647 NY Practitioner - Nurse Practitioner 8628466588 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nott Street Medical PLLCGroup PAC ID 5193999670, 5 clinicians
New York General Medical Services PCGroup PAC ID 7810255494, 18 clinicians
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

1150 Nott St
Schenectady, NY 12308-2426
Phone (518) 374-1655

323 Kings Rd
Schenectady, NY 12304-3645
Phone (518) 393-4117

49 Marvin Ave
Troy, NY 12180-6425
Phone (718) 731-9700

59 Hetcheltown Rd
Schenectady, NY 12302-5506
Phone (518) 384-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348400NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC Single Specialty CurrentSince Nov 10, 2024 Accepting new patients
Nott Street Medical, PLLC Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
JDS Medical Services PC Single Specialty CurrentSince Jan 17, 2026 Accepting new patients
NV Pacs 2 LLC Single Specialty CurrentSince Dec 26, 2022 Accepting new patients
New York General Medical Services PC Single Specialty CurrentSince Dec 26, 2022 Accepting new patients
Medical Director Services PC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients

Locations

180 Washington Avenue Ext
Albany, NY 12203
Phone (518) 456-7831

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

2090 Albany Post Rd
Montrose, NY 10548

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

1150 Nott St
Schenectady, NY 12308
Phone (518) 374-1655

323 Kings Rd
Schenectady, NY 12304
Phone (518) 393-4117

526 Altamont Ave
Schenectady, NY 12303
Phone (518) 346-6121

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

49 Marvin Ave
Troy, NY 12180
Phone (518) 272-6717

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 6

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 3

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1912669151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 STATE HIGHWAY 163",
            "city": "FORT PLAIN",
            "state": "NY",
            "postal_code": "133394035",
            "telephone_number": "518-332-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 STATE HIGHWAY 163",
            "city": "FORT PLAIN",
            "state": "NY",
            "postal_code": "133394035",
            "telephone_number": "518-332-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "MEGAN",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Plain, NY

Sources for this page

Verify at the official NPI Registry.