Individual provider Active NPI

Kaylyn Elizabeth Amuso, APRN, FNP-C

  • Family Nurse Practitioner
  • Camillus, NY
National Provider Identifier
1386206365
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344461 Issued in NY
Practice address
260 Township Blvd Ste 20
Camillus, NY 13031-1678
Phone
(315) 708-0190
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 344461 NY Primary

Addresses

Primary practice location

260 Township Blvd Ste 20
Camillus, NY 13031-1678

Mailing address

260 Township Blvd Ste 20
Camillus, NY 13031-1678
Phone (315) 708-0190

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
I20190913001599 NY Practitioner - Nurse Practitioner 5193054302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Gastroenterologists of Central New York PC 14 clinicians

Practice addresses (Care Compare)

260 Township Blvd
Suite 20
Camillus, NY 13031-1678
Phone (315) 708-0091

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice PLLC CurrentSince May 8, 2023 Accepting new patients
Associated Gastroenterologists of Central New York, PC CurrentSince Oct 1, 2024 Accepting new patients
Crouse Medical Practice, PLLC CurrentSince May 8, 2023 Accepting new patients
Crouse Medical Practice PLLC Past Accepting new patients

Locations

260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091

4217 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

739 Irving Ave
Ste 400
Syracuse, NY 13210
Phone (315) 234-4815

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

739 Irving Ave
Ste 200
Syracuse, NY 13210
Phone (315) 479-5070

739 Irving Ave
Ste 430
Syracuse, NY 13210

Interoperability endpoints

  • Direct secure messaging: kamuso@agcny.medentdirect.com

Organizations & group practices 4

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 2

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1386206365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311678",
            "telephone_number": "315-708-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311678",
            "telephone_number": "315-708-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUSO",
        "first_name": "KAYLYN",
        "middle_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.