Individual provider Active NPI

Gretchen Schlieder, NP

  • Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1750906608
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
346056 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1807
Phone
(154) 485-1113
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 346056 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

301 Prospect Ave
Syracuse, NY 13203-1899
Phone (315) 448-5111

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
I20200921002161 NY Practitioner - Nurse Practitioner 1456779644 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

104 Union Ave
Suite 801
Syracuse, NY 13203-1844
Phone (315) 474-0542

17 Lansing St
Suite 201
Auburn, NY 13021-1983
Phone (315) 252-8838

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Medical PC Current Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jul 17, 2023 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jul 17, 2023 Accepting new patients
Physicians Medical Associates New York PC CurrentSince Jan 1, 2024 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner Current Accepting new patients
St Josephs Medical PC CurrentSince Feb 9, 2021 Accepting new patients
Physicians Medical Associates New York PC CurrentSince Jan 1, 2024 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner CurrentSince Jul 17, 2020 Accepting new patients
Auburn Community Hospital CurrentSince Jul 17, 2023 Accepting new patients
Auburn Community Hospital CurrentSince Jul 17, 2023 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner CurrentSince Jul 17, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

200 Corporate Blvd
Lafayette, LA 70508

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202

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

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

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

104 Union Ave
Ste 801
Syracuse, NY 13203
Phone (315) 422-4983

Interoperability endpoints

  • Direct secure messaging: gschlieder2389111@direct.trinity-health.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1750906608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031899",
            "telephone_number": "315-448-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "154-485-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIEDER",
        "first_name": "GRETCHEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "346056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.