Individual provider Active NPI

John Sprey, NP

  • Family Nurse Practitioner
  • Camillus, NY
National Provider Identifier
1689283236
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346327-01 Issued in NY
Practice address
208 Township Blvd
Ste 100
Camillus, NY 13031
Phone
(315) 557-6000
Fax
(315) 464-7106
NPI assigned
Jul 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 F346327-01 NY Primary

Addresses

Primary practice location

208 Township Blvd
Ste 100
Camillus, NY 13031

Mailing address

208 Township Blvd
Ste 100
Camillus, NY 13031
Phone (315) 557-6000

Other practice location 1

5900 N Burdick St Ste 215
East Syracuse, NY 13057-9465
Phone (315) 656-8750

Other practice location 2

475 Irving Ave Ste 210
Syracuse, NY 13210-1529
Phone (315) 471-2646

Other identifiers 1

IdentifierTypeStateIssuer
06160241MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.sprey.1@3682.direct.athenahealth.com

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
I20241018002271 NY Practitioner - Nurse Practitioner 0941732614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upstate Family and Preventive Medicine IncGroup PAC ID 6800185711, 30 clinicians

Practice addresses (Care Compare)

208 Township Blvd
Camillus, NY 13031-1786
Phone (315) 551-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F346327-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Irving Pediatrics, PC CurrentSince Oct 1, 2020 Accepting new patients
Upstate Family and Preventive Medicine, Inc CurrentSince Oct 1, 2024 Accepting new patients
Family Medicine Medical Service Group PastSince Jul 23, 2015 Accepting new patients

Locations

208 Township Blvd
Camillus, NY 13031
Phone (315) 464-6853

208 Township Blvd
Ste 100
Camillus, NY 13031
Phone (315) 464-5162

5900 N Burdick St
Ste 215
East Syracuse, NY 13057
Phone (315) 656-8750

6711 Towpath Rd
Ste 235
East Syracuse, NY 13057
Phone (315) 471-2646

6712 Brooklawn Pkwy
Ste 204
Syracuse, NY 13211
Phone (315) 432-8899

475 Irving Ave
Ste 210
Syracuse, NY 13210
Phone (315) 471-2646

Interoperability endpoints

  • Direct secure messaging: john.sprey.1@3682.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3682/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jsprey42313@direct.upstate.edu

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 1

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1689283236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 TOWNSHIP BLVD",
            "address_2": "STE 100",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-557-6000",
            "fax_number": "315-464-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 TOWNSHIP BLVD",
            "address_2": "STE 100",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-557-6000",
            "fax_number": "315-464-7106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 N Burdick St Ste 215",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579465",
            "country_code": "US",
            "telephone_number": "315-656-8750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Irving Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101529",
            "country_code": "US",
            "telephone_number": "315-471-2646",
            "fax_number": "315-471-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPREY",
        "first_name": "JOHN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-10-24",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346327-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06160241",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.sprey.1@3682.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "6711 Towpath Rd Ste 235",
            "city": "East Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130579509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.