Beth Aimee Bagner
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kingston, NY
NPI 1992521728 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1992521728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 405520 (NY)
- Practice address
- 105 Marys Ave
Kingston, NY 12401-5829 - Phone
- (845) 338-2500
- NPI assigned
- Nov 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Westchester Medical Center Advanced Physician Services PC
Practice addresses (Care Compare)
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131
396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
- Healthalliance Hospital Marys Avenue Campus
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 |
|---|---|---|---|---|
| I20241226002475 | NY | Practitioner - Nurse Practitioner | 0547797896 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Center Advanced Physician Services PC | Current |
Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current |
Accepting new patients |
Locations
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405520 | NY | Yes |
Addresses
Primary practice location
105 Marys Ave
Kingston, NY 12401-5829
Mailing address
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500
Other practice location 1
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500
Other providers in Kingston, NY
- Nancy Auriemma
- B. Kapila, P.C.
- Lisa Babb
- Paige Backenstose
- Susan A Baez
- Ebrima Bah
- Balance Point Acupuncture and Massage Therapy PLLC
- Melissa Ann Bamford
- Tiffany Marie Barger
- Allison Barlow
All providers in Kingston, NY · Psychiatric/Mental 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 Nov 26, 2024. 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.