Organization Active NPI

Elle NP in Family Health, PLLC

  • Family Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1932769361
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ELLE NP IN FAMILY HEALTH, PLLC
Practice address
400 Church St
Saratoga Springs, NY 12866-8654
Phone
(518) 450-7360
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Miss Mirabelle Beck, FNPNPI 1588843569
Title
Family Nurse Practitioner
Phone
(914) 645-3539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

400 Church St
Saratoga Springs, NY 12866-8654

Mailing address

1203 Amsterdam Rd Apt 7a
Scotia, NY 12302-6345
Phone (914) 645-3539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190912000615 NY Part B Supplier - Clinic/Group Practice 5890024111 Receives reassigned benefits from 1 practitioner
Practice locations: Malta, NY; Niskayuna, NY; Saratoga Springs, NY

National Provider Directory

National Provider Directory

Locations

400 Church St
Saratoga Springs, NY 12866
Phone (518) 450-7360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1932769361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 AMSTERDAM RD APT 7A",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123026345",
            "telephone_number": "914-645-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668654",
            "telephone_number": "518-450-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLE NP IN FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "MIRABELLE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "914-645-3539",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.