Renee Nickerson, NP - Medicare Nurse Practitioner in Liverpool, NY

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Renee Nickerson, NP is a medicare enrolled "Nurse Practitioner - Family" in Liverpool, New York. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Josephs Hospital Health Center and her current practice location is 4567 Crossroads Park Dr, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at (315) 883-1631.

Renee Nickerson is licensed to practice in New York (license number 335994) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760797229.

Contact Information

Renee Nickerson, NP
4567 Crossroads Park Dr,
Liverpool, NY 13088-3589
(315) 883-1631
(315) 883-1688

Map and Direction




Provider's Profile

Full NameRenee Nickerson
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location4567 Crossroads Park Dr, Liverpool, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Renee Nickerson graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1760797229
  • Provider Enumeration Date: 08/09/2010
  • Last Update Date: 12/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7618146994
  • Enrollment ID: I20150908000664

Medical Identifiers

Medical identifiers for Renee Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760797229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 402840 (New York)Secondary
363LF0000XNurse Practitioner - Family 335994 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Hospital Health CenterSyracuse, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Josephs Hospital Health Center923404332491

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Renee Nickerson allows following entities to bill medicare on her behalf.
Entity NameDepartment Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameSuny Health Science Center At Syracuse
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184974529
PECOS PAC ID: 7214833086
Enrollment ID: O20031211000420
Entity NameUniversity Surgical Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376590117
PECOS PAC ID: 7315834165
Enrollment ID: O20040304000499

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renee Nickerson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renee Nickerson, NP
3942 Rockwell Rd,
Marcellus, NY 13108-9640

Ph: (315) 673-2802		Renee Nickerson, NP
4567 Crossroads Park Dr,
Liverpool, NY 13088-3589

Ph: (315) 883-1631

Reviews and Comments


Nurse Practitioner Nurses in Liverpool, NY

Megan Marie Wolfe, NP
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Medicare: Medicare Enrolled
Practice Location: 5100 W Taft Rd Ste 1c, Liverpool, NY 13088
Phone: 315-744-1833    Fax: 315-452-2336
Nicole Brice Corlyon,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8324 Oswego Rd Ste D, Liverpool, NY 13090
Phone: 315-652-6551    Fax: 315-652-7039
Naomi L Mehmedovic,
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Medicare: Accepting Medicare Assignments
Practice Location: 8324 Oswego Rd Ste D, Liverpool, NY 13090
Phone: 315-652-6551    Fax: 315-652-7039
Meahgan Lefevre, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4811 Buckley Rd, Liverpool, NY 13088
Phone: 315-457-9966    Fax: 315-457-9854
Paige Strassner,
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Practice Location: 7375 Oswego Rd, Liverpool, NY 13090
Phone: 716-699-9032    
Mrs. Julie G. Aziz, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5100 W Taft Rd, 3r, Liverpool, NY 13088
Phone: 315-452-2240    Fax: 315-452-2237
Mrs. Elizabeth Marie Carrigan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4820 W Taft Rd, Suite 201, Liverpool, NY 13088
Phone: 315-448-6215    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.