Active NPIIndividual provider

Carisa Fick, AGNP-C

Nurse Practitioner, Gerontology in Middletown, New York

NPI Number1821860883
Practice location
155 Crystal Run RD, Middletown, NY 10941-4057
Fax
845-703-6297
Last updated
November 12, 2026

Carisa Fick is a Nurse Practitioner, Gerontology based in Middletown, NY. Carisa Fick practices in Middletown, NY and has the professional credentials of AGNP-C. The NPI Number for Carisa Fick is 1821860883 and holds a License No. 311679 (NY). The current practice location address for Carisa Fick is 155 Crystal Run RD, Middletown, NY 10941-4057 and can be reached out via phone at 845-703-6999 and via fax at 845-703-6297.

Provider Profile Details

NPI Number
1821860883
Provider Name
Carisa Fick
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
155 Crystal Run RD, Middletown, NY 10941-4057
Phone Number
845-703-6999
Fax Number
845-703-6297
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
October 24, 2023
Last Update Date
November 12, 2026
Certification Date
November 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Crystal Run RD
Middletown, NY 10941-4057
Zip
10941-4057
Phone Number
845-703-6999
Fax Number
845-703-6297
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
155 Crystal Run RD
Middletown, NY 10941-4057
City
Middletown
State
NY
Zip
10941-4057
Phone Number
845-703-6999
Fax Number
845-703-6297

License Information

License Number
311679
License State
NY
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carisa Fick, AGNP-C?

The NPI number of Carisa Fick, AGNP-C is 1821860883. It was assigned on October 24, 2023 and is currently active in the NPPES registry.

What is the specialty of Carisa Fick, AGNP-C?

Carisa Fick, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NY under license number 311679.

Where does Carisa Fick, AGNP-C practice?

The practice location is 155 Crystal Run RD, Middletown, NY 10941-4057. The office can be reached at 845-703-6999 (phone) or 845-703-6297 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821860883 directly on the NPPES registry website.

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