Charina A Carissimi, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

001142 Issued in NY

Practice address

90 Presidential PLZ
3Rd Floor
Syracuse, NY 13202-2240

Phone

(315) 464-4458

Fax

(315) 464-6388

NPI assigned

Jan 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University OB/GYN AssociatesGroup PAC ID 9133117740, 36 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.06 of 100Reported as group

Quality

96.61

Promoting interoperability

100

Improvement activities

40

Cost

31.11

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccarissimi13911@direct.upstate.edu

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.

• University OB/GYN Associates

  • Gynecology Physician
  • Syracuse, NY
  • NPI 1235170150
  Medicare reassignment Care Compare group NPD
• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558
  NPD (past)
• Cathy J. Berry, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
  • NPI 1992784573
  NPD (past)
• St. Barnabas OB GYN, PC

  • Obstetrics & Gynecology Physician
  • Bronx, NY
  • NPI 1124060595
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1851379192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLZ",
            "address_2": "3RD FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022240",
            "telephone_number": "315-464-4458",
            "fax_number": "315-464-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLZ",
            "address_2": "3RD FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022240",
            "telephone_number": "315-464-4458",
            "fax_number": "315-464-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARISSIMI",
        "first_name": "CHARINA",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001142",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02879385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiovascular Specialists PC
• Haley Marie Carey, MS OTR/L
• Jacqueline Ann Misch Carfagno, RD
• Robert L Carhart Jr., MD
• Carol Ann Carioti, NP
• Robert E Carlin, MD
• Mary Susan Carlisle, LCSW
• Travis T. Carlisle, CRNA
• Zoie Carlisle
• John Alan Carlo, RPH

• Advanced Practice Midwife in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.

Verify at the official NPI Registry.