Active NPI
Kaylyn Elizabeth Amuso, APRN, FNP-C
- Family Nurse Practitioner
- Camillus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 344461
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- St Joseph'S Hospital Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Medical Practice PLLC | Current | Accepting new patients | |
| Associated Gastroenterologists of Central New York, PC | Current | Accepting new patients | |
| Crouse Medical Practice, PLLC | Current | 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
- 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.
-
- Gastroenterology Physician
- Camillus, NY
- NPI 1013938174
NY
-
- Physician Assistant
- East Syracuse, NY
- NPI 1386990638
-
- Clinical Medical Laboratory
- Syracuse, NY
- NPI 1548579212
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.