Individual provider Active NPI

Jenna Pawloski, FNP-C

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1659866754
Registry record updated Jun 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343030-1 Issued in NY
Practice address
6 Rhoads Dr
Utica, NY 13502-6317
Phone
(315) 733-2777
NPI assigned
Jun 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2018

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 F343030-1 NY Primary

Addresses

Primary practice location

6 Rhoads Dr
Utica, NY 13502-6317

Mailing address

6240 Cavanaugh Rd
Marcy, NY 13403-2508
Phone (315) 507-1062

Other practice location 1

5800 Heritage Landing Dr Ste A
East Syracuse, NY 13057-9378
Phone (315) 802-6779

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
I20180813003197 NY Practitioner - Nurse Practitioner 6002164795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Dermatology PLLCGroup PAC ID 9234417452, 14 clinicians

Practice addresses (Care Compare)

5823 Widewaters Pkwy
Suite 4
East Syracuse, NY 13057-3081
Phone (315) 500-7546

Merit-based Incentive Payment System (MIPS)

Final score
81.8 of 100Reported as group
Quality
70
Promoting interoperability
97
Improvement activities
40
Cost
71.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F343030-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Dermatology PLLC CurrentSince Nov 1, 2022 Accepting new patients
Jeffrey Laduca MD PC CurrentSince Oct 18, 2021 Accepting new patients

Locations

144 Standart Ave
Auburn, NY 13021
Phone (315) 255-1100

5823 Widewaters Pkwy
Ste 4
East Syracuse, NY 13057
Phone (315) 278-5049

301 Genesee St
Ste F
Oneida, NY 13421
Phone (315) 500-7546

833 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 252-9562

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.

NPI Registry JSON

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530316800000",
    "number": "1659866754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 CAVANAUGH RD",
            "city": "MARCY",
            "state": "NY",
            "postal_code": "134032508",
            "telephone_number": "315-507-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RHOADS DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026317",
            "telephone_number": "315-733-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 Heritage Landing Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579378",
            "country_code": "US",
            "telephone_number": "315-802-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWLOSKI",
        "first_name": "JENNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2018-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343030-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.