Individual provider Active NPI

Lindsey Rae Petrie, FNP

  • Family Nurse Practitioner
  • East Syracuse, NY
National Provider Identifier
1326470154
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337988 Issued in NY
Practice address
6713 Collamer Rd
East Syracuse, NY 13057-9759
Phone
(315) 463-0421
Fax
(585) 385-6071
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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 337988 NY Primary

Addresses

Primary practice location

6713 Collamer Rd
East Syracuse, NY 13057-9759

Mailing address

755 Jefferson Rd
Ste 110
Rochester, NY 14623-3233
Phone (585) 419-7948

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
I20130930000327 NY Practitioner - Nurse Practitioner 8426282799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sleep Insights Medical Associates PLLCGroup PAC ID 8325345325, 10 clinicians

Practice addresses (Care Compare)

6713 Collamer Rd
East Syracuse, NY 13057-9814
Phone (315) 463-0421

Merit-based Incentive Payment System (MIPS)

Final score
92.78 of 100Reported as group
Quality
95.06
Promoting interoperability
100
Improvement activities
40
Cost
78.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337988NYMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Insights Medical Services, LLC CurrentSince Jan 7, 2017 Accepting new patients
Sleep Insights Medical Associates PLLC Family CurrentSince Jan 7, 2017 Accepting new patients

Locations

6713 Collamer Rd
East Syracuse, NY 13057
Phone (315) 449-0117

50 E South St
Geneseo, NY 14454
Phone (585) 243-5109

7220 Porter Rd
Niagara Falls, NY 14304
Phone (716) 297-0873

755 Jefferson Rd
Ste 110
Rochester, NY 14623
Phone (585) 419-7948

755 Jefferson Ave
Ste 110
Rochester, NY 14611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4
  • Direct secure messaging: lindsey.petrie.1@22039.direct.athenahealth.com

Organizations & group practices 2

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1326470154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 JEFFERSON RD",
            "address_2": "STE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233233",
            "telephone_number": "585-419-7948",
            "fax_number": "585-385-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 COLLAMER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579759",
            "telephone_number": "315-463-0421",
            "fax_number": "585-385-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "LINDSEY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.