Individual provider Active NPI

Julie Ann Gaetano-Carter, ANP

  • Adult Health Nurse Practitioner
  • Utica, NY
National Provider Identifier
1346720174
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308929 Issued in NY
Practice address
1651 Oneida St
Utica, NY 13501-4866
Phone
(315) 793-7600
Fax
(315) 798-1842
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 668860 NY
Adult Health Nurse Practitioner 363LA2200X 308929 NY Primary

Addresses

Primary practice location

1651 Oneida St
Utica, NY 13501-4866

Mailing address

1 S Washington St Ste 300
Rochester, NY 14614-1134
Phone (585) 325-2280

Other practice location 1

55 Central Plz Ste B
Ilion, NY 13357-1753
Phone (315) 444-1900

Other identifiers 1

IdentifierTypeStateIssuer
05390441MedicaidNY

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
I20190322000648 NY Practitioner - Nurse Practitioner 9931449261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Health, Inc.Group PAC ID 4385826585, 8 clinicians

Practice addresses (Care Compare)

1651 Oneida St
Utica, NY 13501-4866
Phone 58532522807318

Hospital & facility affiliations

  • At Home Care Inc Chha Home health agency, Oneonta, NY, CCN 337233
  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Little Falls Hospital Hospital, Little Falls, NY, CCN 331311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
668860NYMDRegistered Nurse
308929NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Health, Inc. Current Accepting new patients
Mosaic Health, Inc. CurrentSince Mar 13, 2023 Accepting new patients
Mosaic Health, Inc. CurrentSince Mar 13, 2023 Accepting new patients

Locations

55 Central Plz
Ste B
Ilion, NY 13357
Phone (315) 444-1900

1 S Washington St
Ste 300
Rochester, NY 14614
Phone (585) 325-2280

2 Rubin Dr
Rushville, NY 14544
Phone (585) 554-4400

4100 Baldwin Rd
Rushville, NY 14544
Phone (585) 287-8858

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1346720174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S WASHINGTON ST STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146141134",
            "telephone_number": "585-325-2280",
            "fax_number": "315-798-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 ONEIDA ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014866",
            "telephone_number": "315-793-7600",
            "fax_number": "315-798-1842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Central Plz Ste B",
            "address_purpose": "LOCATION",
            "city": "Ilion",
            "state": "NY",
            "postal_code": "133571753",
            "country_code": "US",
            "telephone_number": "315-444-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAETANO-CARTER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "668860",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05390441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.