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EMILY T. ETZKORN, M.D., P.C.
NPI 1396856530
Internal Medicine in Amsterdam, NY

Active since August 31, 2006CLIA 33D0989115 · Microscopy
5010 STATE HIGHWAY 30, SUITE G-02, AMSTERDAM, NY 12010(518) 842-0017(518) 842-7545 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emily T. Etzkorn, M.d., P.c. NPPES

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

EMILY T. ETZKORN, M.D., P.C. (NPI 1396856530) is a healthcare organization registered as an internal medicine in Amsterdam, New York and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through July 17, 2027 and lists Emily T. Etzkorn, President/corporation Holder, as its authorized official.

NPPES Registry Identity

NPI1396856530
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEMILY T. ETZKORN, M.D., P.C.
Location Address5010 STATE HIGHWAY 30, SUITE G-02Amsterdam, NY 12010-7532
Mailing Address5010 State Highway 30, Suite G-02Amsterdam, NY 12010-7532 · (518) 842-0017 · Fax (518) 842-7545
Phone(518) 842-0017
Fax(518) 842-7545
Organization SubpartNo
Authorized OfficialEmily T. EtzkornPresident/corporation Holder · (518) 842-0017
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 21, 2010
✔ NPI 1396856530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5010 STATE HIGHWAY 30, Amsterdam, NY 12010
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Other Identifiers 2

Medicare ID-Type UnspecifiedAA1401NY
Medicaid02047565NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily T. Etzkorn, M.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Emily T. Etzkorn, M.D., P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Emily Etzkorn, M.D.
Internal Medicine
NPI 1871554543
5010 STATE HIGHWAY 30 SUITE G-02
Amsterdam, NY 12010
(518) 842-0017
✔ PECOSSame address
Stephanie Rudin
Nurse Practitioner
NPI 1174392948
5010 STATE HIGHWAY 30
Amsterdam, NY 12010
(518) 842-0017
✔ PECOSSame address
Jessica Benoit, FNP-BC
Nurse Practitioner
NPI 1124674957
5010 NY-30
Amsterdam, NY 12010
(518) 842-0017
✔ PECOS0.6 mi
Angela Fraumane, FNP-BC
Nurse Practitioner
NPI 1821762410
375 GOLF COURSE RD
Amsterdam, NY 12010
(518) 212-6090
✔ PECOS✔ Accepts Medicare0.7 mi
Vitina Ruffino-Mosher, FNP
Nurse Practitioner
NPI 1619030616
46 E MAIN ST
Fonda, NY 12068
(518) 853-3190
✔ PECOS✔ Accepts Medicare9.2 mi
Eloise Potenza, PSY.D.
Clinical Psychologist
NPI 1922292622
1311 UNION ST
Schenectady, NY 12308
(518) 374-6263
✔ PECOS17 mi
Julia Gross, FNP
Nurse Practitioner
NPI 1114271970
954 ROUTE 146
Clifton Park, NY 12065
(518) 952-4000
✔ PECOS20 mi
Robert Freeman, M.D.
Family Practice
NPI 1285047746
1134 STATE RT. 29 GREENWICH MEDICAL CENTER
Greenwich, NY 12834
(518) 692-9861
✔ PECOS✔ Accepts Medicare35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0989115

Emily T Etzkorn MD · Amsterdam, NY
Active · expires Jul 17, 2027
CLIA Number33D0989115
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorEmily T. Etzkorn
Laboratory Phone(518) 842-0017
Laboratory LocationEmily T Etzkorn MD5010 State Highway 30 Suite G-02, Amsterdam, NY 12010
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Emily T. Etzkorn, M.D., P.C.'s NPI number?

The NPI number for Emily T. Etzkorn, M.D., P.C. is 1396856530. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Emily T. Etzkorn, M.D., P.C. located?

Emily T. Etzkorn, M.D., P.C. is located at 5010 State Highway 30 Suite G-02, Amsterdam, NY 12010. The listed phone number is (518) 842-0017.

What is Emily T. Etzkorn, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emily T. Etzkorn, M.D., P.C. enrolled in Medicare?

Yes. Emily T. Etzkorn, M.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emily T. Etzkorn, M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Emily T. Etzkorn, M.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Clinical Psychologist (1) and Family Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Emily T. Etzkorn, M.D., P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0989115) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emily T. Etzkorn, M.D., P.C. was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.