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RENEE NICKERSON NP
NPI 1760797229
Nurse Practitioner - Family in Syracuse, NY

Active since August 09, 2010PECOS EnrolledAccepts Medicare Assignment
5108 VELASKO RD STE 2000, SYRACUSE, NY 13215(315) 924-6555(315) 306-7737 Get Directions Write a Review

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

Record update history: Jan 30, 2026, Dec 29, 2020 (2 updates tracked since 2020).

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

NPI1760797229
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENEE NICKERSONCredential: NP
Location Address5108 VELASKO RD STE 2000Syracuse, NY 13215-1982
Mailing Address3942 Rockwell RdMarcellus, NY 13108-9640 · (315) 673-2802
Phone(315) 924-6555
Fax(315) 306-7737
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 9, 2010
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1760797229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 335994
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 402840 (NY)
5108 VELASKO RD STE 2000, Syracuse, NY 13215
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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

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.

PECOS PAC ID7618146994
PECOS Enrollment IDI20150908000664
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.

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, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician 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.

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 2

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

ERIN CAVALLO NP
Nurse Practitioner (Psychiatric/Mental Health)
5108 VELASKO RD STE 2000
SYRACUSE, NY 13215
Onondaga County (315) 607-9417
REMIND NP IN PSYCHIATRY AND FAMILY HEALTH PLLC
Nurse Practitioner (Psychiatric/Mental Health)
5108 VELASKO RD STE 2000
SYRACUSE, NY 13215
Onondaga County (315) 924-7555

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.

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 with the weekly NPPES data releases published by CMS.