Individual provider Active NPI

Chelsea M Holtman, NP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1831829845
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349725 Issued in NY
Practice address
195 Intrepid LN
Syracuse, NY 13205-2544
Phone
(315) 469-8700
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 349725 NY Primary

Addresses

Primary practice location

195 Intrepid LN
Syracuse, NY 13205-2544

Mailing address

7355 Van Buren Rd
Baldwinsville, NY 13027-9078
Phone (315) 720-5276

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
I20240402003472 NY Practitioner - Nurse Practitioner 1355789900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaki Badawy, MD PCGroup PAC ID 9234576844, 18 clinicians

Practice addresses (Care Compare)

8100 Oswego Rd
Suite 140
Liverpool, NY 13090-1659
Phone (315) 726-3861

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zaki Badawy, MD PC CurrentSince Feb 20, 2024 Accepting new patients
Cny Fertility Center Past Accepting new patients

Locations

5301 W Genesee St
Ste 50
Camillus, NY 13031
Phone (315) 832-9867

5586 Legionnaire Dr
Ste 3
Cicero, NY 13039
Phone (315) 632-6066

6333 State Route 298
Ste 102
East Syracuse, NY 13057
Phone (315) 760-5036

8100 Oswego Rd
Ste 140
Liverpool, NY 13090
Phone (315) 470-7364

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1831829845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 VAN BUREN RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279078",
            "telephone_number": "315-720-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052544",
            "telephone_number": "315-469-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTMAN",
        "first_name": "CHELSEA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.