Individual provider Active NPI

Teilah Alvis

  • Family Nurse Practitioner
  • Ballston Lake, NY
National Provider Identifier
1912861816
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357936 Issued in NY
Practice address
19 Winkel Way
Ballston Lake, NY 12019-9109
Phone
(518) 439-8116
NPI assigned
Dec 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 357936 NY Primary

Addresses

Primary practice location

19 Winkel Way
Ballston Lake, NY 12019-9109

Mailing address

19 Winkel Way
Ballston Lake, NY 12019-9109

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
I20260202001399 NY Practitioner - Nurse Practitioner 2062990955 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

42 Gurney LN
Queensbury, NY 12804-8250
Phone (845) 354-1212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
357936NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York General Medical Services PC CurrentSince Jan 26, 2026 Accepting new patients
NV Pacs 2 LLC CurrentSince Jan 26, 2026 Accepting new patients
Arcadian Medical Health PC CurrentSince Jun 6, 2026 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

152 Upper Sherman Ave
Queensbury, NY 12804
Phone (518) 581-7260

42 Gurney Ln
Queensbury, NY 12804
Phone (518) 496-2793

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1912861816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WINKEL WAY",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120199109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WINKEL WAY",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120199109",
            "telephone_number": "518-439-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIS",
        "first_name": "TEILAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Lake, NY

Sources for this page

Verify at the official NPI Registry.