MRS. GRACIA LYNNETTE ROULAN MSN, FNP
NPI 1285989681
Nurse Practitioner - Family in Syracuse, NY
About Mrs. Gracia Lynnette Roulan Msn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GRACIA LYNNETTE ROULAN MSN, FNP (NPI 1285989681) is an individual family provider in Syracuse, New York, licensed in New York (337452) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Gracia Lynnette Roulan Msn, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Gracia Roulan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13204
- Reassigned Medicare billing, New York enrollment
- 6 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Emergency Care Services Of New York PC
- 240 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 clinicians in this Medicare group
Liverpool, NY 13090
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Wellnow Urgent Care, P.C.
- 511 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13204
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 Gracia Roulan's NPI number?
The NPI number for Gracia Roulan is 1285989681. It was assigned to this individual provider in the NPPES registry on July 23, 2012.
Where is Gracia Roulan located?
Gracia Roulan practices at 1050 W Genesee St, Syracuse, NY 13204. The listed phone number is (315) 641-2385.
What is Gracia Roulan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gracia Roulan enrolled in Medicare?
Yes. Gracia Roulan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gracia Roulan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gracia Roulan reassigns Medicare benefits to 5 organizations: Nascentia Community Care (Syracuse, NY), Emergency Care Services Of New York, P.C. (Syracuse, NY), St Josephs Hospital Health Center (Syracuse, NY), St Josephs Medical PC (Liverpool, NY) and Wellnow Urgent Care, PC (Liverpool, 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 Gracia Roulan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gracia Roulan affiliated with any hospitals?
According to CMS data, Gracia Roulan is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Gracia Roulan was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Mrs. Gracia Lynnette Roulan, MSN, FNP · NPI 1285989681
Family physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since July 23, 2012.
## Identity
- **NPI:** 1285989681 (Entity type: Individual)
- **Enumerated:** July 23, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 337452 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1050 W GENESEE ST, Syracuse, NY 13204-2243
- **Phone:** (315) 641-2385 · **Fax:** (315) 305-4677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Nascentia Community Care (NPI 1700870011, Syracuse, NY); Emergency Care Services Of New York, P.C. (NPI 1639236656, Syracuse, NY); St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY); St Josephs Medical PC (NPI 1942501747, Liverpool, NY); Wellnow Urgent Care, PC (NPI 1669825162, Liverpool, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285989681) · Data from the CMS NPPES public registry.