Look up the most recent NPI and PECOS records

Midian Townsend

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Midian Townsend is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1740079979
Provider Type
Individual
Full Name
Townsend, Midian
Title
Mrs.
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
5/5/2025
Last Updated
7/28/2025

Contact Information

Practice Location

100 Woods Rd, Valhalla, NY 10595-1530

(914) 493-7000

Unlisted Fax

Mailing Location

319 Burroughs Ln, New Windsor, NY 12553-6402

(646) 842-0474

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 357351 New York
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 794942-01 New York

Midian Townsend

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Sebastian, Demy Ann

Tallini, Gary Lawrence

Raimo, Michelle L.

Megahey, Brenna Clare

Reyes-Pastorella, Evangeline Torres

Zachariah, Maxine

Caione, Jason

Quinn, Susan

Haro, Kary L

Stanley, Dawn Z