Individual provider Active NPI

Caitlin Coleman

  • Family Nurse Practitioner
  • Baldwinsville, NY
National Provider Identifier
1831567379
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339799 Issued in NY
Practice address
138 E Genesee St
Baldwinsville, NY 13027-2720
Phone
(315) 638-1950
Fax
(315) 638-1445
NPI assigned
Sep 14, 2015
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 339799 NY Primary

Addresses

Primary practice location

138 E Genesee St
Baldwinsville, NY 13027-2720

Mailing address

1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488

Other practice location 1

37 W Garden St Ste 105
Auburn, NY 13021-2663
Phone (315) 252-0000

Other practice location 2

803 Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-9355

Other practice location 3

303 Grant Ave
Auburn, NY 13021-1407
Phone (315) 258-7100

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
I20151104002313 NY Practitioner - Nurse Practitioner 8729398607 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians

Practice addresses (Care Compare)

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339799NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Jul 1, 2022 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jul 1, 2022 Accepting new patients
Auburn Community Hospital CurrentSince Jul 1, 2022 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jul 1, 2022 Accepting new patients
Omar Osman MD PLLC CurrentSince Feb 1, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2018 Accepting new patients
St Josephs Medical PC CurrentSince Apr 1, 2016 Accepting new patients
North Medical PC Current Accepting new patients
Ucm Digital Ipa, Inc. PastSince Dec 18, 2022 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

303 Grant Ave
Auburn, NY 13021
Phone (315) 253-1805

37 W Garden St
Ste 105
Auburn, NY 13021
Phone (315) 252-0000

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

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

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

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

525 Beahan Rd
Rochester, NY 14624
Phone (585) 247-7880

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

3504 W Genesee St
Ste 1B
Syracuse, NY 13219
Phone (315) 401-0754

6227 Thompson Rd
Syracuse, NY 13206
Phone (315) 937-2007

Interoperability endpoints

  • Direct secure messaging: ccoleman@amms.medentdirect.com

Organizations & group practices 9

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.

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1831567379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272720",
            "telephone_number": "315-638-1950",
            "fax_number": "315-638-1445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 W Garden St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130212663",
            "country_code": "US",
            "telephone_number": "315-252-0000",
            "fax_number": "315-252-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Genesee Street Rd",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "13152",
            "country_code": "US",
            "telephone_number": "315-685-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211407",
            "country_code": "US",
            "telephone_number": "315-258-7100",
            "fax_number": "315-255-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

Verify at the official NPI Registry.