Active NPI
Nicolas Pauly, NPP
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401735
- Practice address
- 6836 E Genesee St
Fayetteville, NY 13066-1024 - Phone
- (315) 446-1435
- NPI assigned
- Jul 14, 2014
- Last updated
- Jul 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401735 | NY | Primary |
Addresses
Primary practice location
6836 E Genesee St
Fayetteville, NY 13066-1024
Mailing address
6836 E Genesee St
Fayetteville, NY 13066-1024
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
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 464-3265
4914 W Genesee St
Suite 121
Camillus, NY 13031-2378
Phone (315) 446-1435
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.28 of 100
- Quality
- 88.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401735 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Psychiatric NP Consultants of Central New York, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Psychiatry Faculty Practice, Inc. | Current | Accepting new patients |
Locations
17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265
Interoperability endpoints
- npauly26396@direct.upstate.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Camillus, NY
- NPI 1255840682
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
dba Auburn Orthopaedic Services
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1790192508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6836 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6836 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661024",
"telephone_number": "315-446-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULY",
"first_name": "NICOLAS",
"credential": "NPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.