NPIMap

Individual provider Active NPI

Kristen McNeil, PA

  • Physician Assistant
  • East Syracuse, NY
National Provider Identifier
1639270481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009662 Issued in NY
Practice address
4939 Brittonfield Pkwy
East Syracuse, NY 13057-9208
Phone
(315) 463-1600
Fax
(315) 634-6789
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009662 NY Primary

Addresses

Primary practice location

4939 Brittonfield Pkwy
East Syracuse, NY 13057-9208

Mailing address

4939 Brittonfield Pkwy
East Syracuse, NY 13057-9208
Phone (315) 463-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000900 NY Practitioner - Physician Assistant 8729070149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneida Medical Practice PCGroup PAC ID 9830272350, 51 clinicians

Practice addresses (Care Compare)

221 Broad St-Attn ENT Specialists of
Suite 201
Oneida, NY 13421-2178
Phone (315) 363-5421

301 Genesee St
Oneida, NY 13421-2644

301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Medical Practice, PC CurrentSince Feb 1, 2022 Accepting new patients

Locations

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

301 Genesee St
Ste D
Oneida, NY 13421
Phone (315) 363-9380

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

Interoperability endpoints

  • Direct secure messaging: kmcneil@ompohc.medentdirect.com

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.

Hospital & facility affiliations 12

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639270481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 BRITTONFIELD PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579208",
            "telephone_number": "315-463-1600",
            "fax_number": "315-634-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 BRITTONFIELD PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579208",
            "telephone_number": "315-463-1600",
            "fax_number": "315-634-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "KRISTEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.