Individual provider Active NPI

Trish Pedrosa, FNP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1558093054
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349781 Issued in NY
Practice address
1000 E Genesee St Ste 403
Syracuse, NY 13210-1840
Phone
(315) 464-2929
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 349781 NY Primary

Addresses

Primary practice location

1000 E Genesee St Ste 403
Syracuse, NY 13210-1840

Mailing address

1000 E Genesee St
Syracuse, NY 13210-1892

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
I20230113001328 NY Practitioner - Nurse Practitioner 7214308030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 E Genesee St
Suite 403
Syracuse, NY 13210-1840
Phone (315) 464-2929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
71.97
Promoting interoperability
100
Improvement activities
40
Cost
75.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
349781NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Dec 21, 2022 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Dec 21, 2022 Accepting new patients

Locations

1000 E Genesee St
Ste 403
Syracuse, NY 13210
Phone (315) 464-2929

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

1000 E Genesee St
Syracuse, NY 13210
Phone (315) 464-1600

Interoperability endpoints

  • Direct secure messaging: tandrews42957@direct.upstate.edu

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 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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1558093054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 403",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101840",
            "telephone_number": "315-464-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROSA",
        "first_name": "TRISH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.