Individual provider Active NPI

Janae Nicole Ford, FNP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1811615982
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350059 Issued in NY
Practice address
930 S Salina St
Syracuse, NY 13202-3530
Phone
(315) 476-7921
Fax
(315) 234-5915
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 350059 NY Primary

Addresses

Primary practice location

930 S Salina St
Syracuse, NY 13202-3530

Mailing address

930 S Salina St
Syracuse, NY 13202-3530
Phone (315) 476-7921

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
I20221013000367 NY Practitioner - Nurse Practitioner 9436525656 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350059NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Syracuse Community Health Center CurrentSince Sep 9, 2024 Accepting new patients

Locations

819 S Salina St
Syracuse, NY 13202

930 S Salina St
Syracuse, NY 13202
Phone (315) 234-5960

312 Oswego St
Syracuse, NY 13204
Phone (315) 435-6525

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1811615982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023530",
            "telephone_number": "315-476-7921",
            "fax_number": "315-425-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023530",
            "telephone_number": "315-476-7921",
            "fax_number": "315-234-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JANAE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.