Individual provider Active NPI

Christopher John Norman, MSN, APRN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1326442476
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307126 Issued in NY
Practice address
550 Harrison St
Suite a - Geriatrics
Syracuse, NY 13202-3188
Phone
(315) 464-5167
Fax
(315) 464-5771
NPI assigned
Oct 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307126 NY Primary

Addresses

Primary practice location

550 Harrison St
Suite a - Geriatrics
Syracuse, NY 13202-3188

Mailing address

550 Harrison St
Suite a - Geriatrics
Syracuse, NY 13202-3188
Phone (315) 464-5167

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
I20141209000059 NY Practitioner - Nurse Practitioner 8628390317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desta Anthony Mobile NP Adult Health PLLCGroup PAC ID 5698189835, 2 clinicians

Practice addresses (Care Compare)

8241 Penstock Way
Manlius, NY 13104-9401
Phone (315) 559-1965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mission Medicine Wound Care New York PLLC CurrentSince Jun 29, 2024 Accepting new patients
Desta Anthony Mobile NP Adult Health, PLLC Adult Health CurrentSince Nov 1, 2024 Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Nov 20, 2014 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Nov 20, 2014 Accepting new patients
Guardian Biologics LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

175 Central Ave
Albany, NY 12206
Phone (518) 436-4462

7439 Canton Street Rd
Baldwinsville, NY 13027
Phone (865) 323-2500

353 Lexington Ave
Fl 4
New York, NY 10016
Phone (301) 973-6102

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

207 E Main St
Ste 3A2
Johnson City, TN 37604
Phone (833) 870-0904

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Interoperability endpoints

  • Direct secure messaging: christopher.norman.1@23111.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23111/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1326442476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST",
            "address_2": "SUITE A - GERIATRICS",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023188",
            "telephone_number": "315-464-5167",
            "fax_number": "315-464-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST",
            "address_2": "SUITE A - GERIATRICS",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023188",
            "telephone_number": "315-464-5167",
            "fax_number": "315-464-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.