Individual provider Active NPI

Betsy Marie Perry, FNP

  • Family Nurse Practitioner
  • Endwell, NY
National Provider Identifier
1932625142
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342095 Issued in NY
Practice address
415 Hooper Rd
Endwell, NY 13760-3646
Phone
(607) 754-3863
Fax
(607) 754-5697
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 342095 NY Primary

Addresses

Primary practice location

415 Hooper Rd
Endwell, NY 13760-3646

Mailing address

415 Hooper Rd
Endwell, NY 13760-3646
Phone (607) 754-3863

Other names 1

  • Betsy Marie Welch Former name

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
I20171003007363 NY Practitioner - Nurse Practitioner 1153696000

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 Hooper Rd
Endwell, NY 13760-3646

Merit-based Incentive Payment System (MIPS)

Final score
83.22 of 100Reported as group
Quality
78.62
Promoting interoperability
96
Improvement activities
40
Cost
68.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
342095NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bwelch@efp.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1932625142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603646",
            "telephone_number": "607-754-3863",
            "fax_number": "607-754-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603646",
            "telephone_number": "607-754-3863",
            "fax_number": "607-754-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "BETSY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2024-03-08",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "WELCH",
            "middle_name": "MARIE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Endwell, NY

Sources for this page

Verify at the official NPI Registry.