Individual provider Active NPI

Anne M St Pierre, F.N.P.

  • Family Nurse Practitioner
  • Norwich, NY
National Provider Identifier
1932148194
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331834 Issued in NY
Practice address
157 E Main St
Norwich, NY 13815-1521
Phone
(607) 336-2400
Fax
(607) 334-5618
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 F331834 NY Primary

Addresses

Primary practice location

157 E Main St
Norwich, NY 13815-1521

Mailing address

157 E Main St
Norwich, NY 13815-1521
Phone (607) 336-2400

Other identifiers 2

IdentifierTypeStateIssuer
12690764OtherNYCAQH
01857450MedicaidNY

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
I20101222000817 NY Practitioner - Nurse Practitioner 1850589599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Dermatology PLLCGroup PAC ID 9234417452, 14 clinicians

Practice addresses (Care Compare)

301 Genesee St
Suite F
Oneida, NY 13421-2644
Phone (315) 500-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.8 of 100Reported as group
Quality
70
Promoting interoperability
97
Improvement activities
40
Cost
71.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F331834NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Dermatology PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

5823 Widewaters Pkwy
Ste 4
East Syracuse, NY 13057
Phone (315) 278-5049

5823 Widewaters Pkwy
East Syracuse, NY 13057
Phone (315) 426-0190

301 Genesee St
Ste F
Oneida, NY 13421
Phone (315) 500-7546

Interoperability endpoints

  • Direct secure messaging: astpierre@empirederm.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1932148194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E MAIN ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151521",
            "telephone_number": "607-336-2400",
            "fax_number": "607-334-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E MAIN ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151521",
            "telephone_number": "607-336-2400",
            "fax_number": "607-334-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PIERRE",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12690764",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.