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WOMEN'S WELLNESS PLACE, PC
NPI 1376617480
Obstetrics & Gynecology in Syracuse, NY

Active since November 20, 2006CLIA 33D0906328 · Certificate of Compliance
739 IRVING AVE, SUITE 300, SYRACUSE, NY 13210(315) 478-1158(315) 478-3014 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Women's Wellness Place, Pc NPPES

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

WOMEN'S WELLNESS PLACE, PC (NPI 1376617480) is a healthcare organization registered as an obstetrics & gynecology in Syracuse, New York and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 1, 2027 and lists Chantell Dalpe-fung, Physician, as its authorized official.

NPPES Registry Identity

NPI1376617480
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWOMEN'S WELLNESS PLACE, PC
Location Address739 IRVING AVE, SUITE 300Syracuse, NY 13210-1640
Mailing Address739 Irving Ave, Suite 300Syracuse, NY 13210-1640 · (315) 478-1158 · Fax (315) 478-3014
Phone(315) 478-1158
Fax(315) 478-3014
Organization SubpartNo
Authorized OfficialChantell Dalpe-fungPhysician · (315) 478-1158
Enumeration DateNovember 20, 2006
Last NPPES UpdateFebruary 18, 2013
✔ NPI 1376617480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
739 IRVING AVE, Syracuse, NY 13210
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Other Identifiers 2

Medicare PINAA0510NY
Medicaid02375359NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Women's Wellness Place, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Women's Wellness Place, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Carly Hornis, MD
Obstetrics/Gynecology
NPI 1073999769
739 IRVING AVE SUITE 530
Syracuse, NY 13210
(315) 478-1158
✔ PECOS✔ Accepts MedicareSame address
Katlyn Piazza, FNP-C
Nurse Practitioner
NPI 1578257069
739 IRVING AVE STE 530
Syracuse, NY 13210
(315) 478-1158
✔ PECOS✔ Accepts MedicareSame address
Chantell Dalpe Fung, MD
Obstetrics/Gynecology
NPI 1871544643
739 IRVING AVE SUITE 530
Syracuse, NY 13210
(315) 478-1158
✔ PECOS✔ Accepts MedicareSame address
Annemarie Dixe, CNP
Nurse Practitioner
NPI 1891880423
739 IRVING AVE SUITE 530
Syracuse, NY 13210
(315) 478-1158
✔ PECOS✔ Accepts MedicareSame address
Kristen Kratzert, M.D.
Obstetrics/Gynecology
NPI 1417908039
739 IRVING AVE SUITE 530
Syracuse, NY 13210
(315) 478-1158
✔ PECOSSame address
Sara Quinn, MD
Obstetrics/Gynecology
NPI 1821439043
90 PRESIDENTIAL PLAZA 1ST FL
Syracuse, NY 13202
(315) 464-5210
✔ PECOS✔ Accepts Medicare0.4 mi
Muzeyyen Ercanli, M.D.
Obstetrics/Gynecology
NPI 1700173507
770 JAMES ST SUITE 100
Syracuse, NY 13203
(315) 423-9637
✔ PECOS✔ Accepts Medicare1.0 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0906328

Women's Wellness Place PC · Syracuse, NY
Active · expires Apr 1, 2027
CLIA Number33D0906328
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorDr. Chantell E. Dalpe-Fung
Laboratory Phone(315) 478-1158
Laboratory LocationWomen's Wellness Place PC739 Irving Avenue Suite 530, Syracuse, NY 13210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Women's Wellness Place, PC's NPI number?

The NPI number for Women's Wellness Place, PC is 1376617480. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Women's Wellness Place, PC located?

Women's Wellness Place, PC is located at 739 Irving Ave Suite 300, Syracuse, NY 13210. The listed phone number is (315) 478-1158.

What is Women's Wellness Place, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Women's Wellness Place, PC enrolled in Medicare?

Yes. Women's Wellness Place, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Women's Wellness Place, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Women's Wellness Place, PC. A 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 the clinician's services. The largest specialties are Obstetrics/Gynecology (5) and Nurse Practitioner (2). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Women's Wellness Place, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0906328) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Women's Wellness Place, PC was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.