Anneliese Provost (NPI# 1184173635, PAC ID# 0648559443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184173635 |
| PAC ID by PECOS | 0648559443 |
| Professional Enrollment ID | I20161118001420 |
| Full Name | Anneliese Provost |
| Organization Legal Name | COMMUNITY CARE PHYSICIANS PC |
| Address |
4164 Route 2 Cropseyville NY 12052 |
| Phone Number | 5182130450 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022904473 |
| Number of Group Practice Members | 329 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330180 | SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4164 Route 2, Cropseyville, NY 12052 | 5182130450 | COMMUNITY CARE PHYSICIANS PC |
| Organization Legal Name | COMMUNITY CARE PHYSICIANS PC |
| Physicians | 267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A O'leary | Nurse Practitioner | Community Care Physicians PC | 1882 New Scotland Rd, Suite 200, Slingerlands, NY 12159-3627 |
| Kelsey E Tourville | Physician Assistant | Community Care Physicians PC | 61 Rowland St, Ballston Spa, NY 12020-1135 |
| Jenny A Torre | Pediatric Medicine | Community Care Physicians PC | 7 B Johnson Rd, Latham, NY 12110-3003 |
| Aaron J Quidort | Internal Medicine | Community Care Physicians PC | 35 Empire State Blvd, Castleton, NY 12033-9777 |
| Jill A Gradner | Internal Medicine | Community Care Physicians PC | 199 Delaware Ave, Delmar, NY 12054-1229 |
| Barbara Hunter Quinn | Nurse Practitioner | Community Care Physicians PC | 1184 State Rd, Suite 50, Ballston Lake, NY 12019 |
| Kristienna Doro | Nurse Practitioner | Community Care Physicians PC | 14 Vista Blvd, Slingerlands, NY 12159-2184 |
| Frances A Rosario | Nurse Practitioner | Community Care Physicians PC | 2 Clara Barton Dr, Suite 201, Albany, NY 12208-3477 |
| Lisbeth M Irish | Registered Dietitian Or Nutrition Professional | Community Care Physicians PC | 501 New Karner Rd, Suite 1a, Albany, NY 12205-3882 |
| Shannon L O'meara | Nurse Practitioner | Community Care Physicians PC | Suite 2, Clifton Park, NY 12065 |
| Street Address |
4164 ROUTE 2 |
| City | CROPSEYVILLE |
| State | NY |
| Zip | 12052 |
| City | CROPSEYVILLE |
| Zip Code | 12052 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CROPSEYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Anneliese Provost.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.