Individual provider Active NPI

Carrie Kramer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1881389328
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405031 Issued in NY
Practice address
207 Twin Hills Dr
Syracuse, NY 13207-1516
Phone
(706) 993-6848
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 685899 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405031 NY Primary

Addresses

Primary practice location

207 Twin Hills Dr
Syracuse, NY 13207-1516

Mailing address

207 Twin Hills Dr
Syracuse, NY 13207-1516

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
I20231222000210 NY Practitioner - Nurse Practitioner 7618337437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
I -View Psychiatric NP Behavioral Therapy PCGroup PAC ID 2264715630, 5 clinicians

Practice addresses (Care Compare)

200 Gateway Park Dr
Syracuse, NY 13212-3760
Phone (315) 391-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
685899NYMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
I - View Psychiatric NP Behavioral Therapy PC Psychiatric/Mental Health CurrentSince Oct 11, 2023 Accepting new patients

Locations

200 Gateway Park Dr
Bldg B
Syracuse, NY 13212
Phone (315) 391-7770

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1881389328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TWIN HILLS DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TWIN HILLS DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071516",
            "telephone_number": "706-993-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "CARRIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "685899",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.