Individual provider Active NPI

Nicole Ann Insel, RN, MSN, FNP

  • Family Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1750059143
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348199 Issued in NY
Practice address
5100 W Taft Rd
Liverpool, NY 13088-3807
Phone
(315) 720-1305
NPI assigned
Sep 1, 2021
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 348199 NY Primary

Addresses

Primary practice location

5100 W Taft Rd
Liverpool, NY 13088-3807

Mailing address

318 Myron Rd
Syracuse, NY 13219-1228

Other practice location 1

138 E Genesee St
Baldwinsville, NY 13027-2793
Phone (315) 720-1305

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220202002494 NY Practitioner - Nurse Practitioner 3476946054 Reassigns benefits to 1 organization
I20250711002619 NV Practitioner - Nurse Practitioner 3476946054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Group II Rhodes P CGroup PAC ID 4981687779, 296 clinicians

Practice addresses (Care Compare)

888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone (702) 579-3253

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
71.97
Promoting interoperability
100
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
348199NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Jan 1, 2022 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Jan 1, 2022 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 1, 2025 Accepting new patients
Southwest Medical Associates, Inc Past Accepting new patients

Locations

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

8655 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 468-8662

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

138 E Genesee St
Baldwinsville, NY 13027
Phone (315) 635-2333

5112 W Taft Rd
Ste J
Liverpool, NY 13088
Phone (315) 701-2170

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

90 Presidential Plz
#5010
Syracuse, NY 13202
Phone (315) 464-9335

Interoperability endpoints

  • Direct secure messaging: ninsel51160@direct.upstate.edu
  • Direct secure messaging: ninselaubuchon204004@westdirect.optum.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1750059143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MYRON RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-720-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130272793",
            "country_code": "US",
            "telephone_number": "315-720-1305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INSEL",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "318 Myron Rd",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132191228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.