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Active NPI 1164735007 Individual Practitioner Female Practitioner

Dedra D Brown , FNP

Nurse Practitioner • Syracuse, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dedra Brown, FNP is a certified Nurse Practitioner practicing in Syracuse, NY. With approximately 16 years of clinical experience since completing medical education in 2010, Dedra Brown delivers high-quality medical care to the local community at 750 E ADAMS ST.

Dedra Brown is affiliated with Physical Medicine And Rehab Medical Service Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, baclofen, 10 mg, electronic analysis reprogramming and refill of spinal canal drug infusion pump, nursing facility discharge management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

750 E Adams St

Syracuse, NY 132102342

Telephone 3154645820
Fax 3154648699
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Syracuse, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +4.7 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
161 Specialists

Practicing in Syracuse, NY (3155 Statewide)

Telehealth Adoption Rate
12.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brown (16 Years) 16 Yrs
Syracuse Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J0475 Injection, baclofen, 10 mg
818 34 $300.00 $174.11
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump
148 37 $250.00 $77.58
99316 Nursing facility discharge management, more than 30 minutes
123 114 $288.58 $111.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 32 $315.00 $110.43
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $220.00 $78.20

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 336322

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03241889 (NY)

Hospital & Practice Group Affiliations

Physical Medicine And Rehab Medical Service Group

813 Fay Rd, Syracuse, NY 132193009

Phone: 3154882951

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. David Kanter , MD

Physical Medicine & Rehabilitation

NPI 1003001371

Doctor of Medicine (M.D.)

Dr. Bernadette Dunn , MD

Physical Medicine & Rehabilitation

NPI 1043417249

Doctor of Medicine (M.D.)

Alexis Antoniou , OTR, L

Occupational Therapist

NPI 1083256119

Occupational Therapist Registered, L

Valerie Sager , MA, CCC-SLP

Speech-Language Pathologist

NPI 1104467331

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Elizabeth Jelloe , DO

Student in an Organized Health Care Education/Training Program

NPI 1104574714

Doctor of Osteopathic Medicine (D.O.)

Dr. David Dube , MD

Internal Medicine

NPI 1114909884

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2013

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102342 (Tel: 3154645820)

📍
Updated Business Mailing Address August 21, 2013

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102342 (Tel: 3154645820)

👤
Provider Name / Credentials Updated August 21, 2013

Recorded as DEDRA BROWN, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2013

Nurse Practitioner (License #336322 in NY)

🟢
Initial NPI Registration & Enumeration July 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164735007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2010
Last Update: August 21, 2013
Sole Proprietor: No

Mailing Address

750 E Adams St

Syracuse, NY 132102342

Phone: 3154645820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.