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LARA NILES FNP
NPI 1023639028
Nurse Practitioner - Family in Saranac Lake, NY

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
2233 STATE ROUTE 86, SARANAC LAKE, NY 12983(518) 891-4141 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lara Niles Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARA NILES FNP (NPI 1023639028) is an individual family provider in Saranac Lake, New York, licensed in New York (703303) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023639028
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLARA NILESCredential: FNP
Location Address2233 STATE ROUTE 86Saranac Lake, NY 12983-5644
Mailing Address2233 State Route 86Saranac Lake, NY 12983-5644 · (518) 891-4141
Phone(518) 891-4141
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1023639028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 703303
2233 STATE ROUTE 86, Saranac Lake, NY 12983
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lara Niles Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315358587
PECOS Enrollment IDI20201118002320
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331315
Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County
Emergency services

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12983 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JONI KRISTINA GERKEN RD
Dietitian, Registered
2233 STATE ROUTE 86
SARANAC LAKE, NY 12983
Franklin County (518) 897-2469
RICHARD P HANDLER MD
Internal Medicine
2233 STATE ROUTE 86, RHEUMATOLOGY SUITE 2
SARANAC LAKE, NY 12983
Franklin County (518) 897-2491
JESSICA LYNN NOVAK CRNA
Nurse Anesthetist, Certified Registered
2233 STATE ROUTE 86
SARANAC LAKE, NY 12983
Franklin County (518) 891-4141
JARED BOUDREAU DPT
Physical Therapist
2233 STATE ROUTE 86, MEDICAL OFFICE BUILDING
SARANAC LAKE, NY 12983
Franklin County (518) 891-4141
ANTHONY F TRAMONTANO M.D.
Internal Medicine (Cardiovascular Disease)
2233 STATE ROUTE 86, CARDIOLOGY
SARANAC LAKE, NY 12983
Franklin County (518) 897-2388
CAROLYN WALRATH
Occupational Therapist
2233 STATE ROUTE 86
SARANAC LAKE, NY 12983
Franklin County (518) 897-2317
MARIJKE B ORMEL ANP
Nurse Practitioner (Adult Health)
2233 STATE ROUTE 86
SARANAC LAKE, NY 12983
Franklin County (518) 891-4141
STANLEY POREBA
Psychiatry & Neurology (Psychiatry)
2233 STATE ROUTE 86, LAKE COLBY DRIVE
SARANAC LAKE, NY 12983
Franklin County (315) 343-8162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Niles's NPI number?

The NPI number for Lara Niles is 1023639028. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Lara Niles located?

Lara Niles practices at 2233 State Route 86, Saranac Lake, NY 12983. The listed phone number is (518) 891-4141.

What is Lara Niles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lara Niles enrolled in Medicare?

Yes. Lara Niles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lara Niles affiliated with any hospitals?

According to CMS data, Lara Niles is affiliated with Canton-Potsdam Hospital, Gouverneur Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Lara Niles was last updated on April 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.