Active NPI
Megan Putnam, NP-BC
- Family Nurse Practitioner
- Fort Plain, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348400
- Practice address
- 465 State Highway 163
Fort Plain, NY 13339-4035 - Phone
- (518) 332-4702
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCNew York General Medical Services PCMedical Director Services PCNV Pacs 2 LLC
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
- Ellis Hospital
- St Marys Healthcare
- St Peter'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York General Medical Services PC | Single Specialty | Current | Accepting new patients |
| Nott Street Medical, PLLC | Single Specialty | Current | Accepting new patients |
| Medical Director Services PC | Single Specialty | Current | Accepting new patients |
| CS Pacs 3 Northeast, LLC | Single Specialty | Current | Accepting new patients |
| JDS Medical Services PC | Single Specialty | Current | Accepting new patients |
| NV Pacs 2 LLC | Single Specialty | Current | 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
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
4241 201st St
Flushing, NY 11361
Phone (516) 599-5688
2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
526 Altamont Ave
Schenectady, NY 12303
Phone (518) 346-6121
1150 Nott St
Schenectady, NY 12308
Phone (518) 374-1655
323 Kings Rd
Schenectady, NY 12304
Phone (518) 393-4117
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 and National Provider Directory roles.
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
NY, Single Specialty
-
- Internal Medicine Physician
- Schenectady, NY
- NPI 1154330892
NY, Single Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY, Single Specialty
-
- Emergency Medicine Physician
- Englewood, NJ
- NPI 1174224653
NY, Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.