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ATHENA REOME
NPI 1164201372
Nurse Practitioner - Pediatrics in Syracuse, NY

Active since September 26, 2023PECOS Enrolled
725 IRVING AVE STE 504, SYRACUSE, NY 13210(315) 464-8444 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Athena Reome NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHENA REOME (NPI 1164201372) is an individual pediatrics provider in Syracuse, New York, licensed in New York (F383575-01) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164201372
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameATHENA REOME
Location Address725 IRVING AVE STE 504Syracuse, NY 13210-1683
Mailing Address725 Irving Ave Ste 504Syracuse, NY 13210-1683 · (315) 464-8444
Phone(315) 464-8444
Sole ProprietorNo
Enumeration DateSeptember 26, 2023
Last NPPES UpdateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1164201372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F383575-01
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License F383575-01 (NY)
725 IRVING AVE STE 504, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athena Reome is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Athena Reome reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Suny Health Science Center At Syracuse
0.2 mi
General Acute Care Hospital
750 EAST ADAMS STREET
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
NPI 1184974529 (315) 464-6530
Pediatric Service Group
0.3 mi
Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1770539066 (315) 464-5450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA MARIE BOLAND PNP
Nurse Practitioner (Pediatrics)
725 IRVING AVE STE 504
SYRACUSE, NY 13210
Onondaga County (315) 464-8444
KATRINA DUFRESNE RDN
Dietitian, Registered
725 IRVING AVE STE 504
SYRACUSE, NY 13210
Onondaga County (315) 464-8453
MRS. KATIE ELISE BOYD PNP-BC
Nurse Practitioner
725 IRVING AVE STE 504
SYRACUSE, NY 13210
Onondaga County (315) 464-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athena Reome's NPI number?

The NPI number for Athena Reome is 1164201372. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Athena Reome located?

Athena Reome practices at 725 Irving Ave Ste 504, Syracuse, NY 13210. The listed phone number is (315) 464-8444.

What is Athena Reome's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Athena Reome enrolled in Medicare?

Yes. Athena Reome is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Athena Reome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athena Reome reassigns Medicare benefits to 2 organizations: Suny Health Science Center At Syracuse (Syracuse, NY) and Pediatric Service Group (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Athena Reome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Athena Reome was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.