Individual provider Active NPI

Joseph A O'Donnell, RN NP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1982965364
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
537578 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1807
Phone
(315) 448-5111
NPI assigned
Jun 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 537578 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

8461 River Rd
Baldwinsville, NY 13027-9223
Phone (315) 350-1769

Other practice location 1

17875 Von Karman Ave Ste 150
Irvine, CA 92614-6212
Phone (310) 354-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, FL, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130128000205 NY Practitioner - Nurse Practitioner 1850545930 Reassigns benefits to 2 organizations
I20260513001397 MA Practitioner - Nurse Practitioner 1850545930 Reassigns benefits to 1 organization
I20260528003914 FL Practitioner - Nurse Practitioner 1850545930 Reassigns benefits to 1 organization
I20260613000208 PA Practitioner - Nurse Practitioner 1850545930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians
Ma SNF on Call PLLCGroup PAC ID 4789160250, 13 clinicians
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

1 Long Beach Rd
Island Park, NY 11558-2254
Phone (646) 296-1508

168 W Central St
Natick, MA 01760-4122
Phone (508) 655-1000

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
537578NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Basin Medical Health PC CurrentSince Jun 26, 2025 Accepting new patients
St Josephs Medical PC CurrentSince Dec 24, 2018 Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

1 Long Beach Rd
Island Park, NY 11558
Phone (516) 432-0300

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Interoperability endpoints

  • Direct secure messaging: jodonnell2389115@direct.trinity-health.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1982965364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 RIVER RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279223",
            "telephone_number": "315-350-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17875 Von Karman Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146212",
            "country_code": "US",
            "telephone_number": "310-354-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RN NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "537578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.