AMIRA GOLDBERG CRNP
NPI 1558721373
Nurse Practitioner - Family in Syracuse, NY

Q: What is Amira Goldberg's NPI number?

The NPI number for Amira Goldberg is 1558721373. It was assigned to this individual provider in the NPPES registry on March 7, 2016. The provider is also known as Amira Kipnis Crnp.

Q: What is Amira Goldberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amira Goldberg was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 07, 2016PECOS EnrolledAccepts Medicare Assignment

739 IRVING AVE STE 200, SYRACUSE, NY 13210(315) 479-5070(315) 701-2525 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 12, 2021, Sep 7, 2018, Mar 20, 2017 (3 updates tracked since 2017).

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About Amira Goldberg Crnp NPPES

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

AMIRA GOLDBERG CRNP (NPI 1558721373) is an individual family provider in Syracuse, New York, licensed in New York (341736) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558721373

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMIRA GOLDBERGCredential: CRNP

Location Address739 IRVING AVE STE 200Syracuse, NY 13210

Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 479-5070 · Fax (315) 701-2525

Phone(315) 479-5070

Fax(315) 701-2525

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 7, 2016

Last NPPES UpdateMarch 12, 20213 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1558721373 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 · 341736

739 IRVING AVE STE 200, Syracuse, NY 13210

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Other Names 1

Former Name (1)Amira Kipnis Crnp

Other Identifiers 1

Medicaid04837601NY

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

Amira Goldberg Crnp 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 ID8729386842

PECOS Enrollment IDI20170801001224

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 2

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.

66 services45 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.

29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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 12

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

MRS. MACKENZIE RENEE ROTELLA NP-C

Nurse Practitioner (Primary Care)