Active NPI
Catherine Jimerson, NP
- Psychiatric/Mental Health Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403620-01
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1899 - Phone
- (315) 448-5111
- NPI assigned
- Aug 23, 2021
- Last updated
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403620-01 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203-1899
Mailing address
4239 Stepping Stone LN
Liverpool, NY 13090-1825
Phone (607) 727-6580
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 703-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F403620-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Pathology, PC | Current | Accepting new patients | |
| New York General Medical Services PC | Current | Accepting new patients | |
| St Joseph's Hospital Health Center | Current | Accepting new patients | |
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients |
Locations
3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
99 6th Ave
Ilion, NY 13357
Phone (315) 895-4050
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
801 N James St
Rome, NY 13440
Phone (315) 337-0550
101 Elm St
Sayville, NY 11782
Phone (631) 244-2400
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
Interoperability endpoints
- cholden3470277@direct.trinity-health.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1881360485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4239 STEPPING STONE LN",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901825",
"telephone_number": "607-727-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031899",
"telephone_number": "315-448-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMERSON",
"first_name": "CATHERINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403620-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.