Kimberly Ann Cerasani, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F345951-01 Issued in NY

Practice address

90 Presidential PLZ
Syracuse, NY 13202-2240

Phone

(315) 464-3835

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

State University of Ny Upstate Medical University, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Suny Health Science Center at Syracuse 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score

88.04 of 100Reported as group

Quality

67.92

Promoting interoperability

99

Improvement activities

40

Cost

69.19

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kshackelton53755@direct.upstate.edu

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.

• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1184974529

  Nurse Practitioner, NY

  Medicare reassignment Care Compare group NPD
• Suny Health Science Center at Syracuse

  • Pharmacy
  • Syracuse, NY
  • NPI 1306567474
  Care Compare group NPD
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare group NPD (past)
• Suny Health Science Center at Syracuse

  • Psychiatric Hospital Unit
  • Syracuse, NY
  • NPI 1144288531
  Care Compare group
• Suny Health Science Center at Syracuse

  • Community/Retail Pharmacy
  • Syracuse, NY
  • NPI 1396330932
  Care Compare group
• Suny Health Science Center at Syracuse

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1568884716
  Care Compare group
• Suny Health Science Center at Syracuse

  • Community/Retail Pharmacy
  • Syracuse, NY
  • NPI 1740796697
  Care Compare group
• Suny Health Science Center at Syracuse

  • Rehabilitation Hospital Unit
  • Syracuse, NY
  • NPI 1841248713
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1689299505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 SPLIT ROCK RD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130318703",
            "telephone_number": "607-316-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLZ",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022240",
            "telephone_number": "315-464-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERASANI",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F345951-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central New York Services, Inc.
• Central New York Services.Inc.
• Central New York Surgical Physicians PC
• Central Park
• Centre Syracuse, LLC
• Carol Ann Cereo, SLP
• Jennifer Elizabeth Cerio, CRNA
• Anthony F Cerminaro, NP
• Lauren E Cerrone
• Tracy L. Cerutti-Owens

• All providers in Syracuse, NY
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.

Verify at the official NPI Registry.