Carrin Elizabeth Brown, FNP
Individual provider Active NPI Family Nurse Practitioner · Niskayuna, NY
NPI 1992357313 · NPPES record last updated Jul 23, 2019
Key facts
- NPI
- 1992357313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 344760 (NY)
- Practice address
- 2125 River Rd Ste 103
Niskayuna, NY 12309-1135 - Phone
- (518) 381-9355
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Mobile Medical Care PC
Statline Medical PC
Mobile Physician Services PLLC
Practice addresses (Care Compare)
Buffalo, NY 14202
Phone (716) 893-1010
200 White Plains Rd
Suite 110
Tarrytown, NY 10591-5805
Phone (914) 215-4748
40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210
Hospital & facility affiliations
- St Marys Healthcare
- St Peter'S Hospital
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 |
|---|---|---|---|---|
| I20190903001526 | NY | Practitioner - Nurse Practitioner | 5294064150 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344760 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Statline Medical PC | Current |
Accepting new patients | |
| Mobile Physician Services PLLC | Past |
Accepting new patients |
Locations
451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800
200 White Plains Rd
Ste 110
Tarrytown, NY 10591
Phone (914) 848-4343
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 344760 | NY | Yes |
Addresses
Primary practice location
2125 River Rd Ste 103
Niskayuna, NY 12309-1135
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Other providers in Niskayuna, NY
- Lucy Brady
- Carol F Braungart
- Daniel Edward Breeyear
- Gerald F Brescia
- Valerie Kozinn Brooks
- Erin Buckley
- C Miller Adult Health NP PLLC
- Capital District Endodontics, PC
- Capital District Orthotic Group
- Capital District Pediatrics, P.C.
All providers in Niskayuna, NY · Family 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 Jul 23, 2019. 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.