Individual provider Active NPI

Nancy Alexandra Caffrey, PA-C

  • Medical Physician Assistant
  • Ticonderoga, NY
National Provider Identifier
1962551150
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
009762 Issued in NY
Practice address
1019 Wicker St
Ticonderoga, NY 12883-1039
Phone
(518) 585-3705
Fax
(518) 585-3875
NPI assigned
Jan 9, 2007
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009762 NY
Medical Physician Assistant 363AM0700X 009762 NY Primary

Addresses

Primary practice location

1019 Wicker St
Ticonderoga, NY 12883-1039

Mailing address

1019 Wicker St
Ticonderoga, NY 12883-1039
Phone (518) 585-3705

Other practice location 1

5 Palisades Dr Ste 100
Albany, NY 12205-6433
Phone (518) 438-4496

Other practice location 2

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 272-0031

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041004000084 NY Practitioner - Physician Assistant 9032000914 Reassigns benefits to 8 organizations
I20230109001226 ME Practitioner - Physician Assistant 9032000914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Partners of Saratoga LTDGroup PAC ID 9739320938, 75 clinicians

Practice addresses (Care Compare)

6 Medical Park Dr
Malta, NY 12020-5051
Phone (518) 289-2020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Mar 18, 2018 Accepting new patients
Saratoga Hospital CurrentSince May 6, 2024 Accepting new patients
Delaware Valley Hospital, Inc CurrentSince Aug 9, 2025 Accepting new patients
Saratoga Hospital CurrentSince May 6, 2024 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Physician Assistant CurrentSince Aug 1, 2020 Accepting new patients
Virginia Emergency Physicians LLP Past Accepting new patients
Virginia Emergency Physicians LLP Physician Assistant Past Accepting new patients
Columbia Healthcare of Central Virginia Inc PastSince Apr 1, 2019 Accepting new patients
Riverside Emergency Physicians LLP Physician Assistant Past Accepting new patients
Virginia Emergency Physicians LLP Physician Assistant Past Accepting new patients
Virginia Emergency Physicians LLP Physician Assistant Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

5 Palisades Dr
Ste 100
Albany, NY 12205
Phone (518) 438-4496

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: ncaffrey468878@direct.uvmhealth.org
  • Direct secure messaging: ncaffrey96715@albanymed.direct-ci.com
  • Direct secure messaging: payer.credentialing@sphp.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1962551150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 WICKER ST",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831039",
            "telephone_number": "518-585-3705",
            "fax_number": "518-585-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WICKER ST",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831039",
            "telephone_number": "518-585-3705",
            "fax_number": "518-585-3875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Palisades Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122056433",
            "country_code": "US",
            "telephone_number": "518-438-4496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801764",
            "country_code": "US",
            "telephone_number": "518-272-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAFFREY",
        "first_name": "NANCY",
        "middle_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009762",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP- Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "5 Palisades Dr Ste 100",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122056433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ticonderoga, NY

Sources for this page

Verify at the official NPI Registry.