Individual provider Active NPI

Darcy Karen Defruscio, NP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1699072157
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336379 Issued in NY
Practice address
945 E Genesee St
Suite 200
Syracuse, NY 13210-1752
Phone
(315) 475-8401
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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 336379 NY Primary

Addresses

Primary practice location

945 E Genesee St
Suite 200
Syracuse, NY 13210-1752

Mailing address

945 E Genesee St
Syracuse, NY 13210-1752
Phone (315) 475-8401

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
I20131206000194 NY Practitioner - Nurse Practitioner 5395972905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

7250 Janus Park Dr
Liverpool, NY 13088-4839
Phone (315) 475-8402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336379NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Health Physicians PC CurrentSince Sep 15, 2013 Accepting new patients
St Josephs Hospital Health Center CurrentSince Dec 1, 2021 Accepting new patients
St Josephs Medical PC CurrentSince Jul 1, 2021 Accepting new patients
St Joseph'S Hospital Health Center CurrentSince Dec 1, 2021 Accepting new patients
North Medical PC Current Accepting new patients

Locations

5700 W Genesee St
Ste 225
Camillus, NY 13031
Phone (315) 475-8401

7250 Janus Park Dr
Liverpool, NY 13088
Phone (315) 475-8402

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

945 E Genesee St
Ste 200
Syracuse, NY 13210
Phone (315) 475-8401

Interoperability endpoints

  • Direct secure messaging: ddefruscio2389700@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1699072157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101752",
            "telephone_number": "315-475-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E GENESEE ST",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101752",
            "telephone_number": "315-475-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRUSCIO",
        "first_name": "DARCY",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.