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ROBERTA COUNTRYMAN FNP
NPI 1295441640
Nurse Practitioner - Family in Syracuse, NY

Active since January 30, 2023PECOS Enrolled
3709 ERIE BLVD E, SYRACUSE, NY 13214(315) 251-2244 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roberta Countryman Fnp NPPES

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

ROBERTA COUNTRYMAN FNP (NPI 1295441640) is an individual family provider in Syracuse, New York, licensed in New York (F349152-01) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295441640
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROBERTA COUNTRYMANCredential: FNP
Location Address3709 ERIE BLVD ESyracuse, NY 13214-2227
Mailing Address4228 Pisces CirLiverpool, NY 13090-1342 · (131) 527-8823
Phone(315) 251-2244
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 29, 2023
✔ NPI 1295441640 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 · F349152-01
3709 ERIE BLVD E, Syracuse, NY 13214
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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)

Roberta Countryman Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911372982
PECOS Enrollment IDI20230404002177
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13214 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

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

MISS ERIN KATHERINE SKELLY RPA-C
Physician Assistant
3709 ERIE BLVD E
DE WITT, NY 13214
Onondaga County (315) 251-2244

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 Roberta Countryman's NPI number?

The NPI number for Roberta Countryman is 1295441640. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Roberta Countryman located?

Roberta Countryman practices at 3709 Erie Blvd E, Syracuse, NY 13214. The listed phone number is (315) 251-2244.

What is Roberta Countryman's specialty?

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

Is Roberta Countryman enrolled in Medicare?

Yes. Roberta Countryman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roberta Countryman was last updated on January 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.