Evan C Hampel, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Poughkeepsie, NY
NPI 1982489274 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1982489274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 311477 (NY)
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 454-8500
- NPI assigned
- Aug 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hudson Valley Cardiovascular Practice PC
Middletown Medical PC
Practice addresses (Care Compare)
1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3924
Phone (845) 473-1188
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
112 Shoprite Blvd
Ellenville, NY 12428-5624
Phone (845) 647-6700
75 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
95 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
Hospital & facility affiliations
- Ellenville Regional Hospital
- Vassar Brothers Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104003007 | NY | Practitioner - Nurse Practitioner | 2163873076 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311477 | NY | MD | Surgery Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Multi-Specialty | Current |
Accepting new patients |
| Hudson Valley Cardiovascular Practice, PC | Multi-Specialty | Current |
Accepting new patients |
| Middletown Medical PC | Multi-Specialty | Current |
Accepting new patients |
Locations
10 Healthy Way
Ellenville, NY 12428
Phone 8456476400294
112 Tops Market Blvd
Ellenville, NY 12428
Phone (845) 647-6700
111 Maltese Dr
Middletown, NY 10940
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
1 Columbia St
Ste 200
Poughkeepsie, NY 12601
Phone (845) 473-1188
1 Columbia St
Ste 300
Poughkeepsie, NY 12601
Phone (845) 483-0100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | 311477 | NY | Yes |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
7 Chestnut LN
Napanoch, NY 12458-4005
Phone (845) 800-2940
Other practice location 1
112 Shoprite Blvd
Ellenville, NY 12428-5624
Phone (845) 647-6700
Other providers in Poughkeepsie, NY
- Lawrence A Hamburg
- Hamid a. Mian, MD, PC
- Yusra Hussein Ibrahim Hamid
- Antoinette T Hamilton
- Gavin Hamnett
- Patricia Hampel
- Jihyuk Han
- Peter Han
- Annika Hancle-Elliott
- Hand in Hand Transportation, Inc.
All providers in Poughkeepsie, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.