Individual provider Active NPI

Joy Roselle, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1770192163
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403092 Issued in NY
Practice address
1500 Vestal Pkwy E
Vestal, NY 13850-1830
Phone
(607) 786-0435
Fax
(607) 208-9796
NPI assigned
Jul 30, 2020
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403092 NY Primary

Addresses

Primary practice location

1500 Vestal Pkwy E
Vestal, NY 13850-1830

Mailing address

1500 Vestal Pkwy E
Vestal, NY 13850-1830
Phone (607) 786-0435

Other names 1

  • Joy Ostanek Former name

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
I20201229000435 NY Practitioner - Nurse Practitioner 0042623696 Reassigns benefits to 2 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
Southern Tier Psychiatry PLLCGroup PAC ID 4587006697, 7 clinicians

Practice addresses (Care Compare)

1500 Vestal Pkwy E
Suite 102
Vestal, NY 13850-1831
Phone (607) 307-5015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
403092NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Psychiatry PLLC CurrentSince Aug 1, 2024 Accepting new patients
Family Services of Chemung County, Inc. Psychiatric/Mental Health CurrentSince Sep 1, 2020 Accepting new patients

Locations

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

1500 Vestal Pkwy E
Ste 102
Vestal, NY 13850
Phone (607) 307-5015

3439 Vestal Pkwy E
#2
Vestal, NY 13850

Organizations & group practices 2

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1770192163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501830",
            "telephone_number": "607-786-0435",
            "fax_number": "607-208-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501830",
            "telephone_number": "607-786-0435",
            "fax_number": "607-208-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLE",
        "first_name": "JOY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "OSTANEK",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.