Mia Valentino, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F354454 Issued in NY

Practice address

195 Intrepid LN
Syracuse, NY 13205-2544

Phone

(315) 469-8700

NPI assigned

Jul 26, 2024

Sex

Female

Sole proprietor

Yes

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

D W Halliday MD PHD PLLCGroup PAC ID 1658703459, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• D W Halliday MD PHD PLLC

  • Facial Plastic Surgery Physician
  • Skaneateles, NY
  • NPI 1578112504
  Medicare reassignment Care Compare group NPD
• Cny Fertility Center

  • Reproductive Endocrinology Physician
  • Syracuse, NY
  • NPI 1568504298
  NPD (past)
• Skaneateles Spine & Sport, Inc.

  • Physical Therapist
  • Skaneateles, NY
  • NPI 1396845244
  NPD (past)
• Reproductive Medicine & Fertility Center

  • Specialist
  • Colorado Springs, CO
  • NPI 1770700544
  NPD (past)

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1699504936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 LAUDER LN",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131526402",
            "telephone_number": "315-420-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052544",
            "telephone_number": "315-469-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Fennell St",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "131521196",
            "country_code": "US",
            "telephone_number": "315-685-0247",
            "fax_number": "315-685-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINO",
        "first_name": "MIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riya Pranavbhai Vaishnav
• Neerja Vajpayee, MD
• Sharon A Valenti, NP
• Carol Ann Valentino, MD
• Joseph Daniel Valentino, MD
• Samuel A Valentino, LPN
• Michael William Valerio, PH.D.
• Jane Valetchikov, PSY.D
• Timothy R Vallee Jr., LPN
• Damian Salvatore Vallelonga, PH.D.

• Family Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.