Individual provider Active NPI

Kayla Nanna, FNP

  • Nurse Practitioner
  • Cicero, NY
National Provider Identifier
1841165263
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
357870 Issued in NY
Practice address
6221 State Route 31 Ste 104
Cicero, NY 13039-8726
Phone
(315) 698-4888
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 357870 NY Primary

Addresses

Primary practice location

6221 State Route 31 Ste 104
Cicero, NY 13039-8726

Mailing address

9118 E Mud Lake Rd
Baldwinsville, NY 13027-9612
Phone (315) 698-4888

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
I20260120001295 NY Practitioner - Nurse Practitioner 0648757864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Care Family Health NP PLLCGroup PAC ID 9931507969, 6 clinicians

Practice addresses (Care Compare)

6221 State Route 31
Suite 104
Cicero, NY 13039-8726
Phone (315) 698-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
357870NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Care Family Health NP, PLLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients

Locations

5972 State Route 31
Cicero, NY 13039
Phone (315) 698-4888

6221 State Route 31
Ste 104
Cicero, NY 13039
Phone (315) 698-4888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24958/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1841165263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 E MUD LAKE RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279612",
            "telephone_number": "315-698-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 STATE ROUTE 31 STE 104",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398726",
            "telephone_number": "315-698-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNA",
        "first_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "357870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

Verify at the official NPI Registry.