Individual provider Active NPI

Samantha G Works, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1962884916
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401842 Issued in NY
Practice address
575 Madison Ave RM 5
New York, NY 10022-2511
Phone
(315) 664-7219
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401842 NY Primary

Addresses

Primary practice location

575 Madison Ave RM 5
New York, NY 10022-2511

Mailing address

203 Colony Park Dr
Liverpool, NY 13088-5409
Phone (315) 664-7219

Other practice location 1

101 Hamilton Ave
Auburn, NY 13021-5028
Phone (315) 253-5385 ext. 1063

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
I20180122001052 NY Practitioner - Nurse Practitioner 3173882198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
I -View Psychiatric NP Behavioral Therapy PCGroup PAC ID 2264715630, 5 clinicians

Practice addresses (Care Compare)

200 Gateway Park Dr
Syracuse, NY 13212-3760
Phone (315) 391-7770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F401842NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
I - View Psychiatric NP Behavioral Therapy PC Psychiatric/Mental Health CurrentSince Aug 10, 2020 Accepting new patients

Locations

200 Gateway Park Dr
Bldg B
Syracuse, NY 13212
Phone (315) 391-7770

Interoperability endpoints

  • Direct secure messaging: sshue2387170@direct.trinity-health.org

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1962884916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COLONY PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885409",
            "telephone_number": "315-664-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MADISON AVE RM 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222511",
            "telephone_number": "315-664-7219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130215028",
            "country_code": "US",
            "telephone_number": "315-253-5385 x1063",
            "fax_number": "315-253-7278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKS",
        "first_name": "SAMANTHA",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.