PETAGAY P. FAIRCLOUGH
NPI 1710675566
Nurse Practitioner - Family in Poughkeepsie, NY

Q: What is Petagay Fairclough's NPI number?

The NPI number for Petagay Fairclough is 1710675566. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Q: What is Petagay Fairclough's specialty?

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

Active since April 28, 2023PECOS EnrolledAccepts Medicare Assignment

45 READE PL, POUGHKEEPSIE, NY 12601(845) 454-8500 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Petagay P. Fairclough NPPES

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

PETAGAY P. FAIRCLOUGH (NPI 1710675566) is an individual family provider in Poughkeepsie, New York, licensed in New York (F351722-01) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710675566

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePETAGAY P. FAIRCLOUGH

Location Address45 READE PLPoughkeepsie, NY 12601-3947

Mailing Address72 Lent StPoughkeepsie, NY 12601-2728 · (845) 240-4987

Phone(845) 454-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 28, 2023

NPPES CertifiedApril 28, 2023

✔ NPI 1710675566 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 · F351722-01

45 READE PL, Poughkeepsie, NY 12601

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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

Petagay P. Fairclough 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 ID2860839339

PECOS Enrollment IDI20240319003508

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 4

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.

249 services152 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.

63 services50 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

21 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330023

Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County

Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330049

Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County

Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330094

Location71 Prospect AvenueHudson, NY 12534 · Columbia County

Emergency services

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330234

Location100 Woods RdValhalla, NY 10595 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

PRIYAM PATTNAIK MD

Pediatrics (Neonatal-Perinatal Medicine)

45 READE PL
POUGHKEEPSIE, NY 12601

Dutchess County (845) 431-5677

CHRISTINE WILSON AGACNP

Nurse Practitioner (Acute Care)

45 READE PL
POUGHKEEPSIE, NY 12601

Dutchess County (845) 454-8500

ZEESHAN IRANI DO, MSMED

Student in an Organized Health Care Education/Training Program

45 READE PL
POUGHKEEPSIE, NY 12601

Dutchess County (203) 241-2685

DIANNE GUARNERA THOMSON PA

Physician Assistant (Surgical)

45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601

Dutchess County (845) 454-8500

DR. JAMES SHARP M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

45 READE PL
POUGHKEEPSIE, NY 12601

Dutchess County (845) 431-5618

DR. DOMENICO CARMINE MASTANDREA D.O.

Emergency Medicine

45 READE PL
POUGHKEEPSIE, NY 12601

Dutchess County (845) 431-5680

CHENG NG MD

Emergency Medicine

45 READE PL
POUGHKEEPSIE, NY 12601

Dutchess County (845) 790-1317

MEGAN CALARDO CRNA

Nurse Anesthetist, Certified Registered

45 READE PL
POUGHKEEPSIE, NY 12601

Dutchess County (845) 454-8500

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 Petagay Fairclough's NPI number?

The NPI number for Petagay Fairclough is 1710675566. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Where is Petagay Fairclough located?

Petagay Fairclough practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (845) 454-8500.

What is Petagay Fairclough's specialty?

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

Is Petagay Fairclough enrolled in Medicare?

Yes. Petagay Fairclough 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 Petagay Fairclough affiliated with any hospitals?

According to CMS data, Petagay Fairclough is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital, Columbia Memorial Hospital and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Petagay Fairclough was last updated on April 28, 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.