Individual provider Active NPI

Kimberly Ann Pisarczyk, NP

  • Family Nurse Practitioner
  • Oneida, NY
National Provider Identifier
1578124657
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344646 Issued in NY
Practice address
321 Genesee St
Oneida, NY 13421-2611
Phone
(315) 363-6000
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 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 344646 NY Primary

Addresses

Primary practice location

321 Genesee St
Oneida, NY 13421-2611

Mailing address

321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000

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
I20190829001358 NY Practitioner - Nurse Practitioner 5092043083 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
Syracuse Community Health Center IncGroup PAC ID 0143121327, 29 clinicians

Practice addresses (Care Compare)

819 S Salina St
Syracuse, NY 13202-3527
Phone (315) 476-7921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344646NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center CurrentSince Feb 14, 2022 Accepting new patients
Syracuse Community Health Center, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Dec 12, 2021 Accepting new patients

Locations

515 Main St
Olean, NY 14760
Phone (716) 373-2600

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

819 S Salina St
Syracuse, NY 13202

603 Oswego St
Syracuse, NY 13204
Phone (315) 424-0800

930 S Salina St
Syracuse, NY 13202
Phone (315) 234-5960

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kimberly.pisarczyk.p1@direct.schcny.nextgenshare.com
  • Direct secure messaging: kpisarczyk685982@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1578124657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-363-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-363-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISARCZYK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.