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BRENDA PARKER
NPI 1285985242
Nurse Practitioner - Family in North Syracuse, NY

Active since September 30, 2012PECOS Enrolled
100 MALTA LN, NORTH SYRACUSE, NY 13212(315) 452-5800 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda Parker NPPES

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

BRENDA PARKER (NPI 1285985242) is an individual family provider in North Syracuse, New York, licensed in New York (355210-01) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285985242
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRENDA PARKER
Location Address100 MALTA LNNorth Syracuse, NY 13212-2375
Mailing Address100 Malta LnNorth Syracuse, NY 13212-2375 · (315) 452-5800
Phone(315) 452-5800
Sole ProprietorYes
Enumeration DateSeptember 30, 2012
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1285985242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 355210-01
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 298833-1 (NY)
100 MALTA LN, North Syracuse, NY 13212
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda Parker 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13212 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 5

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

PAUL JAY HEINS PT
Physical Therapist (Geriatrics)
100 MALTA LN
SYRACUSE, NY 13212
Onondaga County (315) 452-5800
DR. TWINKLE SANJAY PATEL MD
Family Medicine (Geriatric Medicine)
100 MALTA LN
NORTH SYRACUSE, NY 13212
Onondaga County (315) 452-5800
GABRIELE DIETRICH OTR/L
Occupational Therapist
100 MALTA LN
NORTH SYRACUSE, NY 13212
Onondaga County (315) 413-4547
DOUGLAS TUCKER MD
Internal Medicine
100 MALTA LN
SYRACUSE, NY 13212
Onondaga County (315) 703-3586
LORETTO INDEPENDENT LIVING SERVICES INC.
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
100 MALTA LN
NORTH SYRACUSE, NY 13212
Onondaga County (315) 452-5800

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 Brenda Parker's NPI number?

The NPI number for Brenda Parker is 1285985242. It was assigned to this individual provider in the NPPES registry on September 30, 2012.

Where is Brenda Parker located?

Brenda Parker practices at 100 Malta Ln, North Syracuse, NY 13212. The listed phone number is (315) 452-5800.

What is Brenda Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brenda Parker enrolled in Medicare?

Yes. Brenda Parker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Parker was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.