Active NPI
Kelly Mae Salmons
- Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 032779
- Practice address
- 411 Pleasant Ave
Syracuse, NY 13212-3700 - Phone
- (315) 560-5491
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 032779 | NY | Primary |
Addresses
Primary practice location
411 Pleasant Ave
Syracuse, NY 13212-3700
Mailing address
411 Pleasant Ave
Syracuse, NY 13212-3700
Phone (315) 560-5491
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Hospital & facility affiliations
- Crouse Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Health Hospital, Inc. | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Crouse Health Hospital Inc | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients |
Locations
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
Interoperability endpoints
- ksalmons503977@direct.urmc.rochester.edu
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1841340205
-
- Emergency Care Clinic/Center
- Rochester, NY
- NPI 1346281268
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1518908433
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Urgent Care Clinic/Center
- Rochester, NY
- NPI 1700260395
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- General Practice Dentistry
- Rochester, NY
- NPI 1982787537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1265130355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 PLEASANT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132123700",
"telephone_number": "315-560-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 PLEASANT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132123700",
"telephone_number": "315-560-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMONS",
"first_name": "KELLY",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "032779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.