Individual provider Active NPI

Terry C Salmonsen, N.P.

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1194988758
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335611 Issued in NY
Practice address
10 George St
Oswego, NY 13126-3276
Phone
(315) 598-4790
Fax
(315) 343-4663
NPI assigned
Jul 3, 2008
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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 F335611 NY Primary

Addresses

Primary practice location

10 George St
Oswego, NY 13126-3276

Mailing address

239 Oneida St
Fulton, NY 13069-1228
Phone (315) 598-4715

Other identifiers 1

IdentifierTypeStateIssuer
02997217MedicaidNY

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
I20081029000184 NY Practitioner - Nurse Practitioner 3072671411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F335611NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC CurrentSince Feb 18, 2020 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Feb 18, 2020 Accepting new patients
Lake Ontario Prompt Medical Care, PLLC PastSince Apr 30, 2023 Accepting new patients
Upstate Pain Medicine PC Past Accepting new patients
M R Goriganti Physician PLLC Past Accepting new patients
East Hill Family Medical, Inc. PastSince Apr 13, 2025 Accepting new patients

Locations

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

37 W Garden St
Ste 105
Auburn, NY 13021
Phone (315) 252-0000

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1194988758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 ONEIDA ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691228",
            "telephone_number": "315-598-4715",
            "fax_number": "315-598-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GEORGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263276",
            "telephone_number": "315-598-4790",
            "fax_number": "315-343-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMONSEN",
        "first_name": "TERRY",
        "middle_name": "C",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02997217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.