Individual provider Active NPI

Carlie Jean Soldano, FNP-C

  • Family Nurse Practitioner
  • Jamestown, NY
National Provider Identifier
1497573018
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355238 Issued in NY
Practice address
207 Foote Ave Unit 3B
Jamestown, NY 14701-7077
Phone
(716) 664-8101
Fax
(716) 485-7407
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 355238 NY Primary

Addresses

Primary practice location

207 Foote Ave Unit 3B
Jamestown, NY 14701-7077

Mailing address

207 Foote Ave Unit 3B
Jamestown, NY 14701-7077
Phone (716) 664-8101

Other practice location 1

34 Commercial St
Gowanda, NY 14070-1408
Phone (716) 363-7294

Other practice location 2

529 Central Ave
Dunkirk, NY 14048-2514
Phone (716) 363-7294

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
I20250320001877 NY Practitioner - Nurse Practitioner 1355863267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Practice addresses (Care Compare)

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Chautauqua at Wca CurrentSince Jan 10, 2025 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Jan 10, 2025 Accepting new patients
Brooks-TLC Hospital System, Inc. Current Accepting new patients
Brooks - TLC Hospital System, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Brooks - TLC Hospital System, Inc. Past Accepting new patients

Locations

7020 Erie Rd
Derby, NY 14047
Phone (716) 947-0316

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008

34 Commercial St
Gowanda, NY 14070
Phone (716) 532-3377

207 Foote Ave
Unit 3B
Jamestown, NY 14701
Phone (716) 664-8101

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

Interoperability endpoints

  • Direct secure messaging: csoldano432945@upmc.direct-ci.com

Organizations & group practices 5

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1497573018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE UNIT 3B",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-664-8101",
            "fax_number": "716-485-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE UNIT 3B",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-664-8101",
            "fax_number": "716-485-7407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Gowanda",
            "state": "NY",
            "postal_code": "140701408",
            "country_code": "US",
            "telephone_number": "716-363-7294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "529 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140482514",
            "country_code": "US",
            "telephone_number": "716-363-7294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLDANO",
        "first_name": "CARLIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.