NORTH WIND PRIMARY CARE PLLC
NPI 1629646690
Internal Medicine in Plattsburgh, NY

Active since June 15, 2021CLIA 33D0983012 · Waiver
459 MARGARET ST, PLATTSBURGH, NY 12901(518) 563-6348 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Wind Primary Care Pllc NPPES

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

NORTH WIND PRIMARY CARE PLLC (NPI 1629646690) is a healthcare organization registered as an internal medicine in Plattsburgh, New York and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Joy Good, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1629646690
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH WIND PRIMARY CARE PLLC
Location Address459 MARGARET STPlattsburgh, NY 12901-4605
Mailing Address459 Margaret StPlattsburgh, NY 12901-4605 · (518) 563-6348
Organization SubpartNo
Authorized OfficialJoy GoodCredentialing Manager · (518) 572-6315
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1629646690 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.
459 MARGARET ST, Plattsburgh, NY 12901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

North Wind Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to North Wind Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1841806072
459 MARGARET ST
Plattsburgh, NY 12901
(518) 563-6348
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1063423523
75 BEEKMAN ST
Plattsburgh, NY 12901
(518) 561-2000
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1508095399
210 CORNELIA ST SUITE 202
Plattsburgh, NY 12901
(518) 563-6348
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1558371344
210 CORNELIA ST SUITE 202
Plattsburgh, NY 12901
(518) 563-6348
✔ PECOS✔ Accepts Medicare1.8 mi
Family Practice
NPI 1073045746
15 PLEASANT STREET
Au Sable Forks, NY 21912
(518) 647-8164
✔ PECOS✔ Accepts Medicare22 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 of Waiver 33D0983012

North Wind Primary Care PLLC · Plattsburgh, NY
Active · expires Feb 11, 2027
CLIA Number33D0983012
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorDr. Johnnie J. Wren
Laboratory Phone(518) 563-6348
Laboratory LocationNorth Wind Primary Care PLLC459 Margaret Street, Plattsburgh, NY 12901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 North Wind Primary Care PLLC's NPI number?

The NPI number for North Wind Primary Care PLLC is 1629646690. It was assigned to this organization in the NPPES registry on June 15, 2021.

Where is North Wind Primary Care PLLC located?

North Wind Primary Care PLLC is located at 459 Margaret St, Plattsburgh, NY 12901. The listed phone number is (518) 563-6348.

What is North Wind Primary Care PLLC's specialty?

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

Is North Wind Primary Care PLLC enrolled in Medicare?

Yes. North Wind Primary Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Wind Primary Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to North Wind Primary Care PLLC. 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 (3), Family Practice (1) and Internal Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Wind Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0983012) is associated with this NPI, valid through February 11, 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 North Wind Primary Care PLLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.