HUDSON HEADWATERS HEALTH NETWORK
NPI 1740296177
Clinic/Center - Primary Care in Schroon Lake, NY

Active since July 31, 2006
24 FAIRFIELD AVE, SCHROON LAKE, NY 12870(518) 532-7120(518) 532-0593 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2020, Nov 16, 2016 (2 updates tracked since 2016).

About Hudson Headwaters Health Network NPPES

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

HUDSON HEADWATERS HEALTH NETWORK (NPI 1740296177) is a healthcare organization registered as a primary care in Schroon Lake, New York and active in the NPI registry since July 2006. The organization lists Laura Pasco, Executive Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1740296177
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHUDSON HEADWATERS HEALTH NETWORK
Location Address24 FAIRFIELD AVESchroon Lake, NY 12870-0292
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Fax(518) 532-0593
Organization SubpartYes
Authorized OfficialLaura PascoExecutive Vp, Cfo · (518) 761-0300
Enumeration DateJuly 31, 2006
Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2024
✔ NPI 1740296177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
24 FAIRFIELD AVE, Schroon Lake, NY 12870

Other Identifiers 1

Medicaid03291018NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hudson Headwaters Health Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20031117000239Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

196

Medicare enrollment records show 196 clinicians reassign Medicare billing to Hudson Headwaters Health Network, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner65
Family Practice45
Internal Medicine13
Pediatric Medicine13
Clinical Social Worker12
Certified Nurse Midwife (CNM)10
Obstetrics/Gynecology10
Podiatry4
14 other specialties24

Nearest to this location (20)

See all 196
Family Practice
NPI 1750940151
24 FAIRFIELD AVE
Schroon Lake, NY 12870
(518) 532-7120
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922553361
24 FAIRFIELD AVENUE, PO BOX 292
Schroon Lake, NY 12870
(518) 532-7120
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1710202544
126 SKI BOWL RD
North Creek, NY 12853
(518) 251-2541
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1316196462
126 SKI BOWL RD
North Creek, NY 12853
(518) 251-2541
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1750746806
126 SKI BOWL RD
North Creek, NY 12853
(518) 251-2541
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1457744914
101 ADIRONDACK DR STE 2
Ticonderoga, NY 12883
(518) 585-6708
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1184285751
101 ADIRONDACK DR STE 2
Ticonderoga, NY 12883
(518) 585-6708
✔ PECOS✔ Accepts Medicare16 mi
Pediatric Medicine
NPI 1356871909
101 ADIRONDACK DR STE 2
Ticonderoga, NY 12883
(518) 585-6708
✔ PECOS16 mi
Family Practice
NPI 1013595560
101 ADIRONDACK DR STE 2
Ticonderoga, NY 12883
(518) 585-6708
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1548671886
11 CROSS ST
Bolton Landing, NY 12814
(518) 644-9471
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1053596122
11 CROSS ST
Bolton Landing, NY 12814
(518) 644-9471
✔ PECOS✔ Accepts Medicare20 mi
Pediatric Medicine
NPI 1982788824
33 TOM PHELPS LN
Mineville, NY 12956
(518) 942-7123
✔ PECOS21 mi
Internal Medicine
NPI 1366456071
3767 MAIN ST
Warrensburg, NY 12885
(518) 623-2844
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1346478658
3767 MAIN ST
Warrensburg, NY 12885
(518) 623-2844
✔ PECOS✔ Accepts Medicare24 mi
Podiatry
NPI 1477567121
3767 MAIN ST
Warrensburg, NY 12885
(518) 623-2844
✔ PECOS✔ Accepts Medicare24 mi
Clinical Social Worker
NPI 1295551216
3767 MAIN ST
Warrensburg, NY 12885
(518) 623-2844
✔ PECOS✔ Accepts Medicare24 mi
Registered Dietitian or Nutrition Professional
NPI 1962343871
3767 MAIN ST
Warrensburg, NY 12885
(518) 623-2844
✔ Accepts Medicare24 mi
Oral Surgery
NPI 1568776185
3761 MAIN ST
Warrensburg, NY 12885
(518) 623-3918
✔ PECOS24 mi
Dentist
NPI 1821005232
3761 MAIN ST
Warrensburg, NY 12885
(518) 623-3918
✔ PECOS24 mi
Dentist
NPI 1952938490
3761 MAIN ST
Warrensburg, NY 12885
(518) 623-3918
✔ PECOS24 mi
See all 196 clinicians

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

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 Hudson Headwaters Health Network's NPI number?

The NPI number for Hudson Headwaters Health Network is 1740296177. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Hudson Headwaters Health Network located?

Hudson Headwaters Health Network is located at 24 Fairfield Ave, Schroon Lake, NY 12870. The listed phone number is (518) 532-7120.

What is Hudson Headwaters Health Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Hudson Headwaters Health Network enrolled in Medicare?

Yes. Hudson Headwaters Health Network is registered in the Medicare PECOS enrollment system.

When is Hudson Headwaters Health Network's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hudson Headwaters Health Network?

According to the CMS Revalidation Reassignment List (October 2026 release), 196 clinicians in 22 Medicare specialties reassign their Medicare billing to Hudson Headwaters Health Network. 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 (65), Family Practice (45) and Internal Medicine (13). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hudson Headwaters Health Network was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.