Individual provider Active NPI

Emma Lingo, FNP-BC

  • Family Nurse Practitioner
  • Nedrow, NY
National Provider Identifier
1942198080
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F356919-01 Issued in NY
Practice address
3267 State Route 11a
Nedrow, NY 13120-4507
Phone
(315) 469-6449
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 F356919-01 NY Primary

Addresses

Primary practice location

3267 State Route 11a
Nedrow, NY 13120-4507

Mailing address

111 Cleveland Blvd
Fayetteville, NY 13066-1101
Phone (315) 399-8436

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
I20251031002369 NY Order and Referring Only - Nurse Practitioner 7416446190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F356919-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Family and Preventive Medicine, Inc CurrentSince Jun 29, 2025 Accepting new patients

Locations

3267 State Route 11A
Nedrow, NY 13120
Phone (315) 469-6449

Interoperability endpoints

  • Direct secure messaging: elingo53550@direct.upstate.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1942198080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLEVELAND BLVD",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661101",
            "telephone_number": "315-399-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 STATE ROUTE 11A",
            "city": "NEDROW",
            "state": "NY",
            "postal_code": "131204507",
            "telephone_number": "315-469-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGO",
        "first_name": "EMMA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356919-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nedrow, NY

Sources for this page

Verify at the official NPI Registry.