Individual provider Active NPI

Steven R Delisle, NP

  • Family Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1689381683
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350652 Issued in NY
Practice address
8324 Oswego Rd Ste D
Liverpool, NY 13090-1086
Phone
(315) 652-6551
Fax
(315) 652-7039
NPI assigned
Oct 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 350652 NY Primary

Addresses

Primary practice location

8324 Oswego Rd Ste D
Liverpool, NY 13090-1086

Mailing address

8324 Oswego Rd Ste D
Liverpool, NY 13090-1086
Phone (315) 652-6551

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdelisle@fpacny.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
I20230608002701 NY Practitioner - Nurse Practitioner 7911364732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians

Practice addresses (Care Compare)

8324 Oswego Rd
Suite D
Liverpool, NY 13090-1086
Phone (315) 652-6551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350652NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice PLLC CurrentSince Jan 1, 2024 Accepting new patients
Family Practice Associates PLLC CurrentSince May 2, 2023 Accepting new patients
Crouse Medical Practice, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8324 Oswego Rd
Ste D
Liverpool, NY 13090
Phone (315) 652-6551

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Interoperability endpoints

  • Direct secure messaging: sdelisle@crousemed.medentdirect.com

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.

Hospital & facility affiliations 3

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1689381683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 OSWEGO RD STE D",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901086",
            "telephone_number": "315-652-6551",
            "fax_number": "315-652-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 OSWEGO RD STE D",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901086",
            "telephone_number": "315-652-6551",
            "fax_number": "315-652-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "STEVEN",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdelisle@fpacny.com",
            "affiliation": "N",
            "address_1": "8324 Oswego Rd Ste D",
            "city": "Liverpool",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130901086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.