Individual provider Active NPI

Kaeli Jo Harney, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1033635388
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07191506 Issued in MA
Practice address
930 S Salina St
Syracuse, NY 13202-3530
Phone
(315) 404-1961
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN2299048 MA
Family Nurse Practitioner 363LF0000X F07191506 MA Primary

Addresses

Primary practice location

930 S Salina St
Syracuse, NY 13202-3530

Mailing address

819 S Salina St
Syracuse, NY 13202-3570
Phone (315) 476-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425000337 NY Practitioner - Nurse Practitioner 4688061591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2299048MAMDGeneral Practice Registered Nurse
F07191506MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center CurrentSince Mar 1, 2022 Accepting new patients
Syracuse Community Health Center, Inc. CurrentSince Mar 1, 2022 Accepting new patients

Locations

819 S Salina St
Syracuse, NY 13202

930 S Salina St
Syracuse, NY 13202
Phone (315) 234-5960

Interoperability endpoints

  • Direct secure messaging: kharney686033@direct.ochin.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1033635388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023570",
            "telephone_number": "315-476-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023530",
            "telephone_number": "315-404-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNEY",
        "first_name": "KAELI",
        "middle_name": "JO",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2299048",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F07191506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.