Jennifer Rene Winiarczyk-Nalle, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402255 Issued in NY

Practice address

115 Creek Cir
East Syracuse, NY 13057-1369

Phone

(315) 413-4536

Fax

(315) 492-1672

NPI assigned

Aug 30, 2017

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer Rene Young Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jennifer Winiarczyk-Nalle, NP in Psychiatry, RN, MSN, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cicero, NY
  • NPI 1386570745
  NPD (past) Authorized official
• Loretto Rest Realty Corporation

  • Clinic/Center
  • Syracuse, NY
  • NPI 1548366271
  NPD

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1881112837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 STEVENS DR S",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399535",
            "telephone_number": "315-420-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CREEK CIR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571369",
            "telephone_number": "315-413-4536",
            "fax_number": "315-492-1672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7270 Buckley Rd",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132122649",
            "country_code": "US",
            "telephone_number": "315-452-0485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINIARCZYK-NALLE",
        "first_name": "JENNIFER",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "YOUNG",
            "middle_name": "RENE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Ann Wike, MS, CCC/SLP
• Britnee Nichole Williams, FNP
• Eleanor Williams, MD
• Michelle Williams
• Miles Ralph Wiltse, DC
• Lindsey Sarah Winter
• Wojtyna Dental LLC
• Women Working for Women
• Benny M Wong, M.D.
• Justin M Wood, D.M.D.

• Psychiatric/Mental Health Nurse Practitioner in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.