Active NPI
Nicole Ann Insel, RN, MSN, FNP
- Family Nurse Practitioner
- Liverpool, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348199
- Practice address
- 5100 W Taft Rd
Liverpool, NY 13088-3807 - Phone
- (315) 720-1305
- NPI assigned
- Sep 1, 2021
- Last updated
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 348199 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Current | Accepting new patients | |
| Department of Medicine Medical Service Group | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | 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
- ninsel51160@direct.upstate.edu
- 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.
-
dba Southwest Medical
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
-
dba Optumcare Anesthesia
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.