RENEE NICKERSON NP
NPI 1760797229
Nurse Practitioner - Family in Syracuse, NY
About Renee Nickerson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEE NICKERSON NP (NPI 1760797229) is an individual family provider in Syracuse, New York, licensed in New York (335994) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
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
Renee Nickerson Np 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
4Medicare enrollment records show Renee Nickerson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 271 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 434 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 115 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 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.
St Joseph's Hospital Health Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13215 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13215
SYRACUSE, NY 13215
SYRACUSE, NY 13215
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 Renee Nickerson's NPI number?
The NPI number for Renee Nickerson is 1760797229. It was assigned to this individual provider in the NPPES registry on August 9, 2010.
Where is Renee Nickerson located?
Renee Nickerson practices at 5108 Velasko Rd Ste 2000, Syracuse, NY 13215. The listed phone number is (315) 924-6555.
What is Renee Nickerson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Renee Nickerson enrolled in Medicare?
Yes. Renee Nickerson 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 Renee Nickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renee Nickerson reassigns Medicare benefits to 4 organizations: Suny Health Science Center At Syracuse (Syracuse, NY), Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY), University Surgical Associates, LLP (Syracuse, NY) and St Josephs Hospital Health Center (Syracuse, 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 Renee Nickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Renee Nickerson affiliated with any hospitals?
According to CMS data, Renee Nickerson is affiliated with St Joseph's Hospital Health Center.
When was this NPI record last updated?
The NPPES record for Renee Nickerson was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Renee Nickerson, NP · NPI 1760797229
Family physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since August 9, 2010.
## Identity
- **NPI:** 1760797229 (Entity type: Individual)
- **Enumerated:** August 9, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 335994 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5108 VELASKO RD STE 2000, Syracuse, NY 13215-1982
- **Phone:** (315) 924-6555 · **Fax:** (315) 306-7737
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Suny Health Science Center At Syracuse (NPI 1184974529, Syracuse, NY); Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (NPI 1063468239, Syracuse, NY); University Surgical Associates, LLP (NPI 1376590117, Syracuse, NY); St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760797229) · Data from the CMS NPPES public registry.