Individual provider Active NPI

Mariana Rose Ames, FNP

  • Nurse Practitioner
  • East Syracuse, NY
National Provider Identifier
1679358055
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F352006-01 Issued in NY
Practice address
6620 Fly Rd Ste 305
East Syracuse, NY 13057-4205
Phone
(315) 464-3938
Fax
(315) 464-5359
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F352006-01 NY Primary

Addresses

Primary practice location

6620 Fly Rd Ste 305
East Syracuse, NY 13057-4205

Mailing address

6620 Fly Rd
East Syracuse, NY 13057-9791
Phone (315) 464-4472

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
I20231116000486 NY Practitioner - Nurse Practitioner 6204283088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Medical Service Group LLPGroup PAC ID 7214928035, 39 clinicians

Practice addresses (Care Compare)

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4627

Merit-based Incentive Payment System (MIPS)

Final score
94.06 of 100Reported as group
Quality
92.53
Promoting interoperability
100
Improvement activities
40
Cost
66.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F352006-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Medical Service Group, LLP CurrentSince Nov 1, 2023 Accepting new patients

Locations

6620 Fly Rd
East Syracuse, NY 13057
Phone (315) 464-1849

6620 Fly Rd
Ste 305
East Syracuse, NY 13057
Phone (315) 464-3938

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

Interoperability endpoints

  • Direct secure messaging: mames61440@direct.upstate.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1679358055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 FLY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579791",
            "telephone_number": "315-464-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 FLY RD STE 305",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574205",
            "telephone_number": "315-464-3938",
            "fax_number": "315-464-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES",
        "first_name": "MARIANA",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F352006-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.