Individual provider Active NPI

Corrinne Guadagnolo Sherman, CRNA

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1154518660
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
517197 Issued in NY
Practice address
4900 Broad Rd
Syracuse, NY 13215-2265
Phone
(315) 492-5522
Fax
(315) 492-5163
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 517197 NY Primary

Addresses

Primary practice location

4900 Broad Rd
Syracuse, NY 13215-2265

Mailing address

PO Box 2000
Enrollment Dept
East Syracuse, NY 13057-4500
Phone (315) 362-5129

Other practice location 1

225 Greenfield Pkwy Ste 105
Liverpool, NY 13088-6656
Phone (315) 451-6911

Other names 1

  • Corrinne Guadagnolo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000265 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204917578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse ASC LLCGroup PAC ID 2062586001, 23 clinicians
Chag Anesthesia PCGroup PAC ID 2668361973, 54 clinicians

Practice addresses (Care Compare)

225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6656
Phone (315) 451-6911

4900 Broad Rd
Syracuse, NY 13215-2265

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
517197NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Agcny Physicians PLLC CurrentSince Jul 15, 2013 Accepting new patients
Syracuse ASC LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Chag Anesthesia PC CurrentSince Nov 5, 2007 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Aug 30, 2021 Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091

4939 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 463-1600

4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

4302 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 423-9722

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200

739 Irving Ave
Ste 420
Syracuse, NY 13210
Phone (315) 470-7921

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

4900 Broad Rd
Bldg S
Syracuse, NY 13215
Phone (315) 299-5313

4900 Broad Rd
Ste 2D
Syracuse, NY 13215
Phone (315) 255-0606

195 Intrepid Ln
Syracuse, NY 13205
Phone (315) 469-6789

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

Interoperability endpoints

  • Direct secure messaging: cguadagnolo29056@direct.upstate.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1154518660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "address_2": "ENROLLMENT DEPT",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574500",
            "telephone_number": "315-362-5129",
            "fax_number": "315-362-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5522",
            "fax_number": "315-492-5163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Greenfield Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130886656",
            "country_code": "US",
            "telephone_number": "315-451-6911",
            "fax_number": "315-451-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "CORRINNE",
        "middle_name": "GUADAGNOLO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "517197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORRINNE",
            "last_name": "GUADAGNOLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.