Individual provider Active NPI

Adriane Nicole Arnold, PA-C

  • Physician Assistant
  • Syracuse, NY
National Provider Identifier
1306184403
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22769 Issued in CA
Practice address
317 S Clinton St
Apt 4D
Syracuse, NY 13202-1216
Phone
(972) 489-7758
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Institute of the Pines, PLLC 2 clinicians

Practice addresses (Care Compare)

6 Regional Dr
Suite C
Pinehurst, NC 28374-9868
Phone (931) 434-7426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20251204000023 NC Practitioner - Physician Assistant 9931335510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016870NYMDClinical Psychologist
PA22769CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of the Pines, PLLC CurrentSince Oct 15, 2025 Accepting new patients

Locations

6 Regional Dr
Ste C
Pinehurst, NC 28374
Phone (910) 255-0079

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA22769 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

317 S Clinton St
Apt 4D
Syracuse, NY 13202-1216

Mailing address

317 S Clinton St
Apt 4D
Syracuse, NY 13202-1216

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2013.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1306184403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S CLINTON ST",
            "address_2": "APT 4D",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S CLINTON ST",
            "address_2": "APT 4D",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021216",
            "telephone_number": "972-489-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ADRIANE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.