Individual provider Active NPI

Janice Beaman, NP, CNM

  • Women's Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1356344311
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420685 Issued in NY
Practice address
4850 Broad Rd
Ste 2C
Syracuse, NY 13215-5103
Phone
(315) 492-5915
Fax
(315) 492-5210
NPI assigned
May 24, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420685 NY Primary
Advanced Practice Midwife 367A00000X F000868 NY

Addresses

Primary practice location

4850 Broad Rd
Ste 2C
Syracuse, NY 13215-5103

Mailing address

4850 Broad Rd
Ste 2C
Syracuse, NY 13215-5103
Phone (315) 492-5915

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000677 NY Practitioner - Certified Nurse Midwife (CNM) 3971558552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced OB GYN PLLCGroup PAC ID 2769436591, 4 clinicians

Practice addresses (Care Compare)

4850 Broad Rd
Suite 2C
Syracuse, NY 13215-5103
Phone (315) 492-5915

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000868NYMDAcupuncturist
F420685NYMDWomen's Health Nurse Practitioner
F000868NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Community Medical, PC CurrentSince May 26, 2018 Accepting new patients
Advanced OB GYN, PLLC CurrentSince May 13, 2017 Accepting new patients

Locations

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4850 Broad Rd
Ste 2C
Syracuse, NY 13215
Phone (315) 436-5046

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356344311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "STE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155103",
            "telephone_number": "315-492-5915",
            "fax_number": "315-492-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD",
            "address_2": "STE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155103",
            "telephone_number": "315-492-5915",
            "fax_number": "315-492-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMAN",
        "first_name": "JANICE",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420685",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.