Active NPI
Jeanne E Pietrzak, M.S.N, R.N., N.P
- Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 303995
- Practice address
- 739 Irving Ave Ste 500
Syracuse, NY 13210-1664 - Phone
- (315) 470-7409
- Fax
- (315) 475-2357
- NPI assigned
- Feb 17, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 303995 | NY | Primary |
Addresses
Primary practice location
739 Irving Ave Ste 500
Syracuse, NY 13210-1664
Mailing address
1001 W Fayette St Ste 400
Syracuse, NY 13204-2866
Phone (315) 470-7409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03303028 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpietrzak@crousemed.medentdirect.com | Direct | Crouse Medical Practice, PLLC |
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
739 Irving Ave
Suite 500
Syracuse, NY 13210-1664
Phone (315) 470-7409
Hospital & facility affiliations
- St Joseph'S Hospital Health Center
- Oswego Hospital
- Crouse Hospital
- Oneida Health Hospital
- Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303995 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Medical Practice, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Crouse Medical Practice PLLC | Current | Accepting new patients |
Locations
5000 Brittonfield Pkwy
Ste B101
East Syracuse, NY 13057
Phone (315) 470-7409
4820 W Taft Rd
Ste 209
Liverpool, NY 13088
Phone (315) 448-6125
4820 W Taft Rd
Ste 201
Liverpool, NY 13088
Phone (315) 234-0906
4500 Pewter Ln
Bldg 1
Manlius, NY 13104
Phone (315) 470-7409
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
739 Irving Ave
Ste 500
Syracuse, NY 13210
Phone (315) 453-4262
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
739 Irving Ave
Ste 550
Syracuse, NY 13210
Phone (315) 766-1666
Interoperability endpoints
- jpietrzak@crousemed.medentdirect.com
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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1922321934
Nurse Practitioner
-
- Physician Assistant
- East Syracuse, NY
- NPI 1386990638
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1679547392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST STE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042866",
"telephone_number": "315-470-7409",
"fax_number": "315-475-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 IRVING AVE STE 500",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101664",
"telephone_number": "315-470-7409",
"fax_number": "315-475-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRZAK",
"first_name": "JEANNE",
"middle_name": "E",
"credential": "M.S.N, R.N., N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "303995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03303028",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpietrzak@crousemed.medentdirect.com",
"affiliation": "Y",
"endpointDescription": "email address in Medent",
"affiliationName": "Crouse Medical Practice, PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "739 Irving Ave Ste 500",
"city": "Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "132101664",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.