KATHLEEN NELLENBACK JOSEPH FNP
NPI 1851688840
Nurse Practitioner - Family in Syracuse, NY

Active since June 29, 2011PECOS Enrolled
475 IRVING AVE, SUITE 200, SYRACUSE, NY 13210(315) 464-4686(315) 464-7106 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathleen Nellenback Joseph Fnp NPPES

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

KATHLEEN NELLENBACK JOSEPH FNP (NPI 1851688840) is an individual family provider in Syracuse, New York, licensed in New York (F336814-1) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851688840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN NELLENBACK JOSEPHCredential: FNP
Location Address475 IRVING AVE, SUITE 200Syracuse, NY 13210-1756
Mailing Address475 Irving Ave, Suite 200Syracuse, NY 13210-1756 · (315) 464-4686 · Fax (315) 464-7106
Fax(315) 464-7106
Sole ProprietorNo
Enumeration DateJune 29, 2011
Last NPPES UpdateMay 9, 2012
✔ NPI 1851688840 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 · F336814-1
475 IRVING AVE, Syracuse, NY 13210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Nellenback Joseph Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kathleen Joseph reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group
Anesthesiology
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Physician Health PC
  • 304 clinicians in this Medicare group
Geriatric Medicine
1256 E 31ST ST
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • 94 clinicians in this Medicare group
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 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.

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 20

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

Nurse Practitioner (Adult Health)
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210
Ophthalmology
475 IRVING AVE, STE 420
SYRACUSE, NY 13210
Pediatrics
475 IRVING AVE, SUITE 210
SYRACUSE, NY 13210
Family Medicine
475 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Family Medicine
475 IRVING AVE, STE 200
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
475 IRVING AVE, SUITE 204
SYRACUSE, NY 13210
Neurological Surgery
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210
Nurse Practitioner (Family)
475 IRVING AVE, SUITE 418
SYRACUSE, NY 13210

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 Kathleen Joseph's NPI number?

The NPI number for Kathleen Joseph is 1851688840. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Kathleen Joseph located?

Kathleen Joseph practices at 475 Irving Ave Suite 200, Syracuse, NY 13210. The listed phone number is (315) 464-4686.

What is Kathleen Joseph's specialty?

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

Is Kathleen Joseph enrolled in Medicare?

Yes. Kathleen Joseph is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathleen Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Joseph reassigns Medicare benefits to 4 organizations: St Josephs Medical PC (Liverpool, NY), St. Joseph's Physician Health, P.C. (Troy, NY), Patient First Medical Practice PC (Brooklyn, NY) and Medical Director Services PC (Princess Anne, MD). 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 Kathleen Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Joseph was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.