Individual provider Active NPI

Josephine Raab, NP

  • Nurse Practitioner
  • Olean, NY
National Provider Identifier
1962422667
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
302991 Issued in NY
Practice address
415 N 8TH Street
Olean, NY 14760-2237
Phone
(716) 372-9399
Fax
(716) 373-5530
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 302991 NY Primary

Addresses

Primary practice location

415 N 8TH Street
Olean, NY 14760-2237

Mailing address

415 N 8TH St
P.O. Box 1208
Olean, NY 14760-6208
Phone (716) 372-9399

Other identifiers 6

IdentifierTypeStateIssuer
9590025OtherNYIHA
02107335MedicaidNY
302991OtherNYLICENSE
00026494302OtherNYUNIVERA
P019302991OtherNYBLUE CHOICE
00056056604OtherNYBLUE CROSS

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
I20080422000802 NY Practitioner - Nurse Practitioner 4385722958 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302991NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Medical Services, PC CurrentSince May 1, 2022 Accepting new patients

Locations

73 Buffalo St
Canandaigua, NY 14424

73 Buffalo St
Ste 100
Canandaigua, NY 14424

415 N 8th St
Olean, NY 14760
Phone (716) 372-9399

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962422667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 8TH ST",
            "address_2": "P.O. BOX 1208",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147606208",
            "telephone_number": "716-372-9399",
            "fax_number": "716-373-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 8TH STREET",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602237",
            "telephone_number": "716-372-9399",
            "fax_number": "716-373-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAB",
        "first_name": "JOSEPHINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "302991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9590025",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02107335",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "302991",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026494302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P019302991",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00056056604",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.