Active NPI
Gracia Lynnette Roulan, MSN, FNP
- Family Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 337452
- Practice address
- 1050 W Genesee St
Syracuse, NY 13204-2243 - Phone
- (315) 641-2385
- Fax
- (315) 305-4677
- NPI assigned
- Jul 23, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337452 | NY | Primary |
Addresses
Primary practice location
1050 W Genesee St
Syracuse, NY 13204-2243
Mailing address
1050 W Genesee St
Syracuse, NY 13204-2243
Phone (315) 477-4663
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
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 W Genesee St
Syracuse, NY 13204-2243
Phone (315) 641-2385
Hospital & facility affiliations
- Nascentia Health at Home
- University Hospital S U N Y Health Science Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Emergency Care Services of New York, P.C. | Current | Accepting new patients | |
| North Medical PC | Current | Accepting new patients | |
| Nascentia Community Care | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| St Josephs Medical PC | Current | Accepting new patients |
Locations
830 County Road 64
Elmira, NY 14903
Phone (607) 739-0495
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
1050 W Genesee St
Syracuse, NY 13204
Phone (315) 424-3744
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Syracuse, NY
- NPI 1700870011
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
-
- Home Health Agency
- Syracuse, NY
- NPI 1265437982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1285989681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042243",
"telephone_number": "315-477-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042243",
"telephone_number": "315-641-2385",
"fax_number": "315-305-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROULAN",
"first_name": "GRACIA",
"middle_name": "LYNNETTE",
"name_prefix": "Mrs.",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337452",
"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 Sep 25, 2025; 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.