Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Judith Hergert, FNP

Individual provider Family Nurse Practitioner · NPI 1164264321

Kathleen Judith Hergert, FNP is a Nurse Practitioner in Fayetteville, New York. Qualified in 2024, 2 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

510 Towne Dr
Fayetteville, NY 13066-1331
Phone: (315) 627-0448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354466 (NY)

Record details

NPI number1164264321
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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