Individual provider Active NPI

Joanna M Maxon, RN

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1992203236
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342696 Issued in NY
Practice address
47 New Scotland Ave
Albany, NY 12208-3412
Phone
(518) 262-5149
Fax
(518) 262-4210
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342696 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
Albany, NY 12208-3412

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700

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
I20180420001891 NY Practitioner - Nurse Practitioner 8426311663 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700

711 Troy Schenectady Rd
Latham, NY 12110-2461

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
342696NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Sep 1, 2020 Accepting new patients
Albany Medical College CurrentSince Apr 10, 2018 Accepting new patients
Columbia Memorial Hospital CurrentSince Mar 1, 2020 Accepting new patients
Albany Medical College CurrentSince Apr 10, 2018 Accepting new patients
Columbia Memorial Hospital Current Accepting new patients
Community Care Physicians, PLLC CurrentSince Mar 29, 2018 Accepting new patients
Albany Medical Center Hospital CurrentSince Apr 10, 2018 Accepting new patients
Columbia Memorial Hospital CurrentSince Mar 1, 2020 Accepting new patients
Albany Medical College Past Accepting new patients

Locations

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

1365 Washington Ave
Ste 204
Albany, NY 12206
Phone (518) 264-6825

1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

43 New Scotland Ave
#113
Albany, NY 12208
Phone (518) 262-3371

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

5 New Karner Rd
Guilderland, NY 12084
Phone (518) 869-8007

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

6 Wellness Way
Ste G04
Latham, NY 12110
Phone (518) 785-5884

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

2976 Route 9W
Saugerties, NY 12477
Phone (518) 264-9400

1769 Union St
Schenectady, NY 12309
Phone (518) 264-4768

1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

11835 State Route 9W
Ste 166
West Coxsackie, NY 12192

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: jmaxon27068@albanymed.direct-ci.com

Organizations & group practices 9

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1992203236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5149",
            "fax_number": "518-262-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXON",
        "first_name": "JOANNA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.