Individual provider Active NPI

Caroline Fasanelli, FNP-C

  • Family Nurse Practitioner
  • Cortland, NY
National Provider Identifier
1194278341
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33340867 Issued in NY
Practice address
134 Homer Ave
Cortland, NY 13045-1206
Phone
(607) 756-3500
NPI assigned
Jul 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33340867 NY Primary

Addresses

Primary practice location

134 Homer Ave
Cortland, NY 13045-1206

Mailing address

1 Ely Park Blvd Apt 53-3
Binghamton, NY 13905-1450
Phone (631) 764-2961

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
I20170118002754 NY Practitioner - Nurse Practitioner 4284916735 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency Medicine Physicians of Cortland County PLLCGroup PAC ID 6002802725, 7 clinicians
Hana Rohan, Cardiology, P.C.Group PAC ID 1850760380, 2 clinicians

Practice addresses (Care Compare)

134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3743

170 Intrepid LN
Syracuse, NY 13205-2545
Phone (315) 671-2500

Hospital & facility affiliations

  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33340867NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hana Rohan, Cardiology, P.C. CurrentSince Apr 1, 2023 Accepting new patients
Smith Allergy and Asthma of Central New York PLLC CurrentSince Nov 2, 2020 Accepting new patients
Emergency Medicine Physicians of Cortland County, PLLC CurrentSince Apr 19, 2017 Accepting new patients

Locations

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

2977 Westinghouse Rd
Horseheads, NY 14845
Phone (607) 378-6662

2430 N Triphammer Rd
Ste B
Ithaca, NY 14850
Phone (607) 379-6072

170 Intrepid Ln
Syracuse, NY 13205
Phone (315) 492-4060

Interoperability endpoints

  • Direct secure messaging: caroline.fasanelli.1@27640.direct.athenahealth.com
  • Direct secure messaging: cfasanelli162577@direct-guthrie.org

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 3

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": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1194278341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELY PARK BLVD APT 53-3",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051450",
            "telephone_number": "631-764-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451206",
            "telephone_number": "607-756-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANELLI",
        "first_name": "CAROLINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33340867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.