NPIMap

Individual provider Active NPI

Joanne Roberts, CNM NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Oneida, NY
National Provider Identifier
1922107010
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
360451 Issued in NY
Practice address
1144 Meadow Dr
Oneida, NY 13421-2726
Phone
(315) 363-9380
Fax
(315) 363-9382
NPI assigned
Sep 22, 2006
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 360451 NY Primary
Midwife 176B00000X F0009381 NY

Addresses

Primary practice location

1144 Meadow Dr
Oneida, NY 13421-2726

Mailing address

1144 Meadow Dr
Oneida, NY 13421-2726
Phone (315) 363-9380

Other identifiers 1

IdentifierTypeStateIssuer
02173444MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727002467 NY Practitioner - Certified Nurse Midwife (CNM) 6002109022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneida Medical Services PLLCGroup PAC ID 3274773197, 10 clinicians

Practice addresses (Care Compare)

1144 Meadow Dr
Oneida, NY 13421-2726
Phone (315) 363-9380

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0009381NYMDMidwife
360451NYMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Medical Services, PLLC CurrentSince Feb 17, 2018 Accepting new patients
Upstate Community Medical, PC CurrentSince Aug 1, 2016 Accepting new patients
James Louis Pfeiff Current Accepting new patients
Mohawk Valley Womens Health Associates LLP PastSince Aug 1, 1996 Accepting new patients
Radiation Oncology Services PC Past Accepting new patients

Locations

1144 Meadow Dr
Oneida, NY 13421
Phone (315) 363-9380

139 Fields Dr
Oneida, NY 13421
Phone (315) 361-2345

8080 Turin Rd
Rome, NY 13440
Phone (315) 336-4721

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

Interoperability endpoints

  • Direct secure messaging: jroberts@whaoneida.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1922107010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 MEADOW DR",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212726",
            "telephone_number": "315-363-9380",
            "fax_number": "315-363-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 MEADOW DR",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212726",
            "telephone_number": "315-363-9380",
            "fax_number": "315-363-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "CNM NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "360451",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F0009381",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02173444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.