Individual provider Active NPI

Chelsey Paycoff

  • Family Nurse Practitioner
  • Auburn, NY
National Provider Identifier
1508426636
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344845 Issued in NY
Practice address
37 W Garden St Ste 105
Auburn, NY 13021-2663
Phone
(315) 252-0000
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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 344845 NY Primary

Addresses

Primary practice location

37 W Garden St Ste 105
Auburn, NY 13021-2663

Mailing address

37 W Garden St Ste 105
Auburn, NY 13021-2663

Other names 1

  • Miss Chelsey Carter Former name

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
I20190923000510 NY Practitioner - Nurse Practitioner 7517297351 Reassigns benefits to 4 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
Medical Imaging Center LLPGroup PAC ID 7911991831, 38 clinicians
Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians

Practice addresses (Care Compare)

5000 Brittonfield Pkwy
Suite A112
East Syracuse, NY 13057-9215
Phone (315) 234-4680

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7551

Hospital & facility affiliations

  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
75.32
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.23 of 100Reported as group
Quality
83.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344845NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2020 Accepting new patients
Crouse Radiology Associates LLP CurrentSince Jan 16, 2024 Accepting new patients
Ted J. Triana, DO, PC CurrentSince Apr 25, 2021 Accepting new patients
Medical Imaging Center LLP CurrentSince Jan 16, 2024 Accepting new patients
Ted J. Triana, DO PC CurrentSince Aug 23, 2021 Accepting new patients
University Radiology Associates, LLP PastSince Jan 16, 2024 Accepting new patients

Locations

37 W Garden St
Ste 107
Auburn, NY 13021
Phone (315) 255-2828

5000 Brittonfield Pkwy
Ste A112
East Syracuse, NY 13057
Phone (315) 234-4680

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

739 Irving Ave
Ste 150
Syracuse, NY 13210
Phone (315) 470-2985

2700 Court St
Ste 4
Syracuse, NY 13208
Phone (315) 233-4000

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

311 Green St
Syracuse, NY 13203
Phone (315) 425-1431

Organizations & group practices 6

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 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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1508426636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST STE 105",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST STE 105",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212663",
            "telephone_number": "315-252-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYCOFF",
        "first_name": "CHELSEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "CARTER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.