Individual provider Active NPI

Laureen A Feller, NP

  • Adult Health Nurse Practitioner
  • Middletown, NY
National Provider Identifier
1982872743
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302823 Issued in NY
Practice address
60 Dunning Rd Ste 1
Middletown, NY 10940-2216
Phone
(845) 344-4477
Fax
(845) 344-6072
NPI assigned
Feb 14, 2008
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302823 NY Primary

Addresses

Primary practice location

60 Dunning Rd Ste 1
Middletown, NY 10940-2216

Mailing address

158 N Main St
PO Box 299
Florida, NY 10921-1133
Phone (845) 651-1412

Other practice location 1

30 Hatfield Ln
Ste 101
Goshen, NY 10924-6766
Phone (845) 294-2733

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
I20220208002561 NY Practitioner - Nurse Practitioner 4082007323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage P M and R LLCGroup PAC ID 8224929070, 3 clinicians

Practice addresses (Care Compare)

60 Dunning Rd
Middletown, NY 10940-2215
Phone 845344447712

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F302823NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage P M & R LLC CurrentSince Feb 3, 2022 Accepting new patients
Horizon Medical Group, P.C. PastSince Nov 3, 1997 Accepting new patients
Horizon Medical Group, P.C. Past Accepting new patients

Locations

60 Dunning Rd
Middletown, NY 10940
Phone (845) 344-4477

60 Dunning Rd
Ste 1
Middletown, NY 10940
Phone (845) 344-4477

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1982872743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 N MAIN ST",
            "address_2": "PO BOX 299",
            "city": "FLORIDA",
            "state": "NY",
            "postal_code": "109211133",
            "telephone_number": "845-651-1412",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DUNNING RD STE 1",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402216",
            "telephone_number": "845-344-4477",
            "fax_number": "845-344-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hatfield Ln",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109246766",
            "country_code": "US",
            "telephone_number": "845-294-2733",
            "fax_number": "845-294-6486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLER",
        "first_name": "LAUREEN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.