Active NPI
Christine Draper Kowaleski, NP
- Psychiatric/Mental Health Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401257-1
- Practice address
- 739 Irving Ave Ste 340
Syracuse, NY 13210-1605 - Phone
- (315) 479-5070
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 332353 | NY | |
| Neonatal Nurse Practitioner | 363LN0000X | 350053 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401257-1 | NY | Primary |
Addresses
Primary practice location
739 Irving Ave Ste 340
Syracuse, NY 13210-1605
Mailing address
1001 W Fayette St Ste 400
Syracuse, NY 13204-2866
Phone (315) 937-3433
Other practice location 1
232 Cambridge St
Syracuse, NY 13210-2208
Phone (315) 546-5075
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ckowaleski@crousemed.medentdirect.com | Direct | Crouse Medical Practice, PLLC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Buffalo School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111
739 Irving Ave
Suite 340
Syracuse, NY 13210-1605
Phone (315) 470-7747
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332353 | NY | MD | Interventional Cardiology Physician |
| 350053 | NY | MD | Family Nurse Practitioner |
| 401257-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Health Hospital, Inc. | Current | Accepting new patients | |
| Crouse Health Hospital Inc | Current | Accepting new patients | |
| Crouse Medical Practice PLLC | Current | Accepting new patients | |
| Crouse Medical Practice, PLLC | Current | Accepting new patients | |
| Crouse Medical Practice PLLC | Past | Accepting new patients | |
| University OB/GYN Associates | Past | Accepting new patients |
Locations
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
739 Irving Ave
Ste 340
Syracuse, NY 13210
Phone (315) 470-7747
Interoperability endpoints
- ckowaleski@crousemed.medentdirect.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1922321934
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1841340205
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- Physician Assistant
- East Syracuse, NY
- NPI 1386990638
-
- Clinical Medical Laboratory
- Syracuse, NY
- NPI 1548579212
-
- Gynecology Physician
- Syracuse, NY
- NPI 1235170150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1700047206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST STE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042866",
"telephone_number": "315-937-3433",
"fax_number": "315-546-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 IRVING AVE STE 340",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101605",
"telephone_number": "315-479-5070"
}
],
"practiceLocations": [
{
"address_1": "232 Cambridge St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102208",
"country_code": "US",
"telephone_number": "315-546-5075",
"fax_number": "315-546-5075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOWALESKI",
"first_name": "CHRISTINE",
"middle_name": "DRAPER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "332353",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NY",
"license": "350053",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401257-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckowaleski@crousemed.medentdirect.com",
"affiliation": "Y",
"endpointDescription": "email address in Medent",
"affiliationName": "Crouse Medical Practice, PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "739 Irving Ave Ste 340",
"city": "Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "132101605",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.