Active NPI
Kimberly Ann Pisarczyk, NP
- Family Nurse Practitioner
- Oneida, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 344646
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 344646 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Community Health Center | Current | Accepting new patients | |
| Syracuse Community Health Center, Inc. | Current | Accepting new patients | |
| Apogee Medical Group, New York, PC | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kimberly.pisarczyk.p1@direct.schcny.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1184886988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.