LARA MALATESTA WARE APRN, PMHNP-BC
NPI 1417642067
Nurse Practitioner - Psychiatric/Mental Health in Gloversville, NY

Active since April 10, 2023PECOS EnrolledAccepts Medicare Assignment
11 BROADWAY ST, GLOVERSVILLE, NY 12078(518) 725-4310 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 14, 2023, Apr 10, 2023 (2 updates tracked since 2023).

About Lara Malatesta Ware Aprn, Pmhnp-bc NPPES

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

LARA MALATESTA WARE APRN, PMHNP-BC (NPI 1417642067) is an individual psychiatric/mental health provider in Gloversville, New York, licensed in New York (405037) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417642067
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLARA MALATESTA WARECredential: APRN, PMHNP-BC
Location Address11 BROADWAY STGloversville, NY 12078-3968
Mailing Address11 Broadway StGloversville, NY 12078-3968 · (518) 725-4310
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 10, 2023
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1417642067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 405037
11 BROADWAY ST, Gloversville, NY 12078

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 Malatesta Ware Aprn, Pmhnp-bc 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 ID5698120848
PECOS Enrollment IDI20231009002283
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 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
91 services26 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.
52 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12078 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.

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.

Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Addiction (Substance Use Disorder))
11 BROADWAY ST
GLOVERSVILLE, NY 12078
Peer Specialist
11 BROADWAY ST
GLOVERSVILLE, NY 12078

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 Ware's NPI number?

The NPI number for Lara Ware is 1417642067. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Lara Ware located?

Lara Ware practices at 11 Broadway St, Gloversville, NY 12078. The listed phone number is (518) 725-4310.

What is Lara Ware's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lara Ware enrolled in Medicare?

Yes. Lara Ware 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.

When was this NPI record last updated?

The NPPES record for Lara Ware was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.