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MRS. GRACIA LYNNETTE ROULAN MSN, FNP
NPI 1285989681
Nurse Practitioner - Family in Syracuse, NY

Active since July 23, 2012PECOS EnrolledAccepts Medicare Assignment
1050 W GENESEE ST, SYRACUSE, NY 13204(315) 641-2385(315) 305-4677 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 and is a graduate of Other (2012).

NPPES Registry Identity

NPI1285989681
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GRACIA LYNNETTE ROULANCredential: MSN, FNP
Location Address1050 W GENESEE STSyracuse, NY 13204-2243
Mailing Address1050 W Genesee StSyracuse, NY 13204-2243 · (315) 477-4663
Phone(315) 641-2385
Fax(315) 305-4677
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 23, 2012
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1285989681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 337452
1050 W GENESEE ST, Syracuse, NY 13204
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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 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.

PECOS PAC ID1557519436
PECOS Enrollment IDI20120918000820
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 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.

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 20

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

LYNN M. BARTON
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 424-3744
MELANIE JUNE SHELLEY
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 424-3744
REBECCA A LEADER
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 424-3744
HOLLY L PROULX
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 424-3744
MRS. HEATHER A MARKEY RN
Registered Nurse
1050 W GENESEE ST, INDEPENDENT HEALTH CARE SERVICES
SYRACUSE, NY 13204
Onondaga County (315) 424-3744
LISA MARIE ELLIS
Licensed Practical Nurse
1050 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 424-3744
DAWN L PAULSEN F.N.P.
Nurse Practitioner (Family)
1050 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (315) 641-2385
VIRGINIA L. CRONIN NP
Nurse Practitioner (Family)
1050 W GENESEE ST
SYRACUSE, NY 13204
Onondaga County (888) 477-4663

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.

When was this NPI record last updated?

The NPPES record for Gracia Roulan was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.