Active NPI
Jodie Danielle Carncross, FNP-C
- Obstetrics & Gynecology Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 346088
- Practice address
- 90 Presidential Plaza
1St FL
Syracuse, NY 13202 - Phone
- (315) 464-5210
- Fax
- (315) 464-2141
- NPI assigned
- Jul 13, 2020
- Last updated
- Oct 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F346088-01 | NY | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 346088 | NY | Primary |
Addresses
Primary practice location
90 Presidential Plaza
1St FL
Syracuse, NY 13202
Mailing address
251 Salina Meadows Pkwy
Suite 100
Syracuse, NY 13212-4516
Phone (315) 464-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06179193 | Medicaid | NY |
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
90 Presidential PLZ
FL 1
Syracuse, NY 13202-2244
Phone (315) 464-5210
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.06 of 100
- Quality
- 96.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 31.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F346088-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University OB/GYN Associates | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Highlands Womens Health | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
6870 E Genesee St
Fayetteville, NY 13066
Phone (315) 679-4367
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734
909 Culver Rd
Rochester, NY 14609
Phone (585) 275-7892
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162
90 Presidential Plz
Fl 1
Syracuse, NY 13202
Phone (315) 464-5210
Interoperability endpoints
- jcarncross49959@direct.upstate.edu
Organizations & group practices 4
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.
-
- Gynecology Physician
- Syracuse, NY
- NPI 1235170150
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1861836652
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
dba Upstate Outpatient Pharmacy at Nappi
- Pharmacy
- Syracuse, NY
- NPI 1306567474
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1952929200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SALINA MEADOWS PKWY",
"address_2": "SUITE 100",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132124516",
"telephone_number": "315-464-2000",
"fax_number": "315-464-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLAZA",
"address_2": "1ST FL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-464-5210",
"fax_number": "315-464-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNCROSS",
"first_name": "JODIE",
"middle_name": "DANIELLE",
"name_prefix": "Miss",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F346088-01",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "346088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06179193",
"state": "NY"
}
],
"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 Oct 7, 2021; 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.