Individual provider Active NPI

Caroline Berrios, N.P.

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1679982771
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338758 Issued in NY
Practice address
819 S Salina St
Syracuse, NY 13202-3570
Phone
(315) 476-7921
Fax
(153) 476-1875
NPI assigned
Aug 4, 2014
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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 338758 NY Primary

Addresses

Primary practice location

819 S Salina St
Syracuse, NY 13202-3570

Mailing address

5496 E Taft Rd
North Syracuse, NY 13212-3784
Phone (315) 552-6700

Other identifiers 1

IdentifierTypeStateIssuer
03922070MedicaidNY

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
I20140910002522 NY Practitioner - Nurse Practitioner 7517186299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Spine and Pain Medicine LLCGroup PAC ID 5597908202, 11 clinicians

Practice addresses (Care Compare)

7449 Morgan Rd
Liverpool, NY 13090-3973
Phone (315) 451-5400

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

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center CurrentSince Mar 1, 2019 Accepting new patients
Cny Spine and Pain Medicine LLC CurrentSince Sep 27, 2020 Accepting new patients
Cny Spine and Pain Medicine LLC CurrentSince Sep 27, 2020 Accepting new patients
Syracuse Community Health Center, Inc. Current Accepting new patients

Locations

7449 Morgan Rd
Liverpool, NY 13090
Phone (315) 451-5400

819 S Salina St
Syracuse, NY 13202

6 Business Park Ct
Utica, NY 13502
Phone (315) 624-9082

Interoperability endpoints

  • Direct secure messaging: caroline.berrios.p1@direct.schcny.nextgenshare.com
  • Direct secure messaging: cberrios@cny.curemd.direct-ci.com
  • Direct secure messaging: cberrios695418@direct.ochin.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1679982771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5496 E TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123784",
            "telephone_number": "315-552-6700",
            "fax_number": "315-552-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023570",
            "telephone_number": "315-476-7921",
            "fax_number": "153-476-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS",
        "first_name": "CAROLINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03922070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.